MARILYN GONZALEZ DECARLO FNP NPI 1972591774

NPI Information

NPI: 1972591774
Provider Name: MARILYN GONZALEZ DECARLO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
133 PEACHTREE ST NE
ATLANTA, GA
ZIP 30303
Phone: (404) 733-6089
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Marilyn Gonzalez Decarlo, FNP is a family nurse practitioner in Atlanta, GA. Marilyn Gonzalez Decarlo, FNP NPI is 1972591774. 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:

133 PEACHTREE ST NE
ATLANTA, GA
ZIP 30303-804
Phone: (404) 733-6089

The NPI 1972591774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/6/2005 and was last updated on 1/24/2013.

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	363L00000X	Nurse Practitioner		RN114872NP	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	RN114872	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	Other Provider Identifier Issuer
1	50BBJTR	MEDICARE UPIN	GEORGIA
2	P42681	MEDICARE ID-TYPE UNSPECIFIED	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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