ANGELA DERAAD NPI 1619409224

NPI Information

NPI: 1619409224
Provider Name: ANGELA DERAAD
Classification: Registered Nurse - 163WM0102X
Entity Type: Individual

Specialization: Maternal Newborn

Address:
1175 CASCADE PKWY SW
ATLANTA, GA
ZIP 30311
Phone: (706) 415-2862
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Angela Deraad is a maternal newborn registered nurse in Atlanta, GA. Angela Deraad NPI is 1619409224. 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:

1175 CASCADE PKWY SW
ATLANTA, GA
ZIP 30311-090
Phone: (706) 415-2862

The enumeration date for this NPI number is 4/2/2017 and was last updated on 4/2/2017.

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	163WL0100X	Registered Nurse	Lactation Consultant	L-16676	GEORGIA	No
2	163WM0102X	Registered Nurse	Maternal Newborn	129675	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: 4/28/2024

NPI Synchronization or Removal

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