ELITE PRIME HEALTH NPI 1396270294

NPI Information

NPI: 1396270294
Provider Name: ELITE PRIME HEALTH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3270 WALTON RIVERWOOD LN SE
3056
ATLANTA, GA
ZIP 30339
Phone: (901) 573-7374
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ELITE PRIME HEALTH is a family nurse practitioner in Atlanta, GA. ELITE PRIME HEALTH NPI is 1396270294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3270 WALTON RIVERWOOD LN SE
3056
ATLANTA, GA
ZIP 30339-561
Phone: (901) 573-7374

The provider's authorized official is Malinda Conrad .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (901) 573-7374.

The enumeration date for this NPI number is 4/27/2017 and was last updated on 4/27/2017.

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	13630	TENNESSEE	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: 4/28/2024

NPI Synchronization or Removal

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