MRS. BRENDA SHORTER NP-C NNP-BC NPI 1336148188

NPI Information

NPI: 1336148188
Provider Name: MRS. BRENDA SHORTER, NP-C, NNP-BC
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
980 JOHNSON FY RD NE STE 620
ATLANTA, GA
ZIP 30342
Phone: (404) 252-9751
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MRS. Brenda Shorter, NP-C, NNP-BC is a neonatal nurse practitioner in Atlanta, GA. MRS. Brenda Shorter, NP-C, NNP-BC NPI is 1336148188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

980 JOHNSON FY RD NE STE 620
ATLANTA, GA
ZIP 30342
Phone: (404) 252-9751
Fax: (678) 990-5763

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/26/2018.

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	RN139907	GEORGIA	No
2	363LN0000X	Nurse Practitioner	Neonatal	RN139907	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	713532283A	MEDICAID	GEORGIA
2	713532283B	MEDICAID	GEORGIA
3	713532283C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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