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Richardson Desmangles, FNP-C
Family Nurse Practitioner in Kennesaw, Georgia
NPI 1467100487

Richardson Desmangles is a Family Nurse Practitioner based in Kennesaw, GA and is specialized in Family. Richardson Desmangles practices in Kennesaw, GA and has the professional credentials of FNP-C. The NPI Number for Richardson Desmangles is 1467100487 and holds a License No. 307243 (Georgia).

The current practice location address for Richardson Desmangles is 50 Walton Green Way Nw Apt 322, Kennesaw, GA and can be reached out via phone at 260-479-0409.

Location: 50 Walton Green Way Nw Apt 322, Kennesaw, GA, 30144-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467100487
Provider Name
Richardson Desmangles
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
50 Walton Green Way Nw Apt 322, Kennesaw, GA, 30144-1295
Phone Number
260-479-0409
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 Walton Green Way Nw Apt 322
City
Kennesaw
State
Georgia
Zip
30144-1295
Phone Number
260-479-0409
Fax Number
person
Provider Business Mailing Address Details
Address
50 Walton Green Way Nw Apt 322
City
Kennesaw
State
Georgia
Zip
30144-1295
Phone Number
260-479-0409
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
307243 (Georgia)
Definition
Definition to come...
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