NNOKP NPI 1932648730

NPI Information

NPI: 1932648730
Provider Name: NNOKP

Doing Business As: NUESTROS NINOS OUR KIDS PEDIATRICS

Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
777 FRANKLIN GTWY SE
MARIETTA, GA
ZIP 30067
Phone: (770) 732-6007
Get Directions

NNOKP is a pediatrics nurse practitioner in Marietta, GA. NNOKP NPI is 1932648730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nuestros Ninos Our Kids Pediatrics.

The provider's business location address is:

777 FRANKLIN GTWY SE
MARIETTA, GA
ZIP 30067-803
Phone: (770) 732-6007
Fax: (770) 732-8242

The provider's authorized official is Maria Cano .
The authorized official title is Practice Manager and has the following contact phone number (770) 732-6007.

The CLIA number assigned to this NPI record is 11D1091809 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.

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	363LP0200X	Nurse Practitioner	Pediatrics			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	000906716C	MEDICAID	GEORGIA
2	000897454E	MEDICAID	GEORGIA
3	818552480A	MEDICAID	GEORGIA
4	000813425E	MEDICAID	GEORGIA
5	000874057I	MEDICAID	GEORGIA
6	003145632A	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

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