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MARIETTA NEWBORN CARE LLC NPI 1083871339


NPI Information

NPI: 1083871339
Provider Name: MARIETTA NEWBORN CARE LLC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Organization

Specialization: Neonatal

Address:
50 PLAZA WAY
SUITE E
MARIETTA, GA
ZIP 30060
Phone: (404) 454-9716
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MARIETTA NEWBORN CARE LLC is a neonatal nurse practitioner in Marietta, GA. MARIETTA NEWBORN CARE LLC NPI is 1083871339. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

50 PLAZA WAY
SUITE E
MARIETTA, GA
ZIP 30060
Phone: (404) 454-9716
Fax: (770) 793-9260

The provider's authorized official is Patricia B Hunt .
The authorized official title is Owner and has the following contact phone number (770) 235-2462.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 3/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LN0000XNurse PractitionerNeonatalR065909GEORGIAYes
2364SN0000XClinical Nurse SpecialistNeonatalR047729GEORGIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000585494BMEDICAIDGEORGIA
2000585505BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.