MR. RONALD SOELIMTO PMHNP NPI 1194252783

NPI Information

NPI: 1194252783
Provider Name: MR. RONALD SOELIMTO, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
346 DEEP SOUTH FARM RD STE A
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 745-9417
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MR. Ronald Soelimto, PMHNP is a psychiatric/mental health nurse practitioner in Blairsville, GA with 8 years of experience. MR. Ronald Soelimto, PMHNP NPI is 1194252783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

346 DEEP SOUTH FARM RD STE A
BLAIRSVILLE, GA
ZIP 30512-218
Phone: (706) 745-9417

The NPI 1194252783 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2017 and was last updated on 12/14/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN293788	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN293788	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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