person
Margaret S. Licavoli
Gerontology Nurse Practitioner in Blairsville, Georgia
NPI 1487399416

Margaret S. Licavoli is a Gerontology Nurse Practitioner based in Blue Ridge, GA and is specialized in Gerontology. Margaret S. Licavoli practices in Blairsville, GA. The NPI Number for Margaret S. Licavoli is 1487399416 and holds a License No. RN168368 (Georgia).

The current practice location address for Margaret S. Licavoli is 123 Weaver Rd Ste B, Blairsville, GA and can be reached out via phone at 170-643-9648.

Location: 123 Weaver Rd Ste B, Blairsville, GA, 30513-4544
person
Provider Profile Details
NPI Number
1487399416
Provider Name
Margaret S. Licavoli
Credential
Provider Entity Type
Individual
Gender
Female
Address
123 Weaver Rd Ste B, Blairsville, GA, 30513-4544
Phone Number
170-643-9648
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Weaver Rd Ste B
City
State
Zip
30512-3155
Phone Number
170-643-9648
Fax Number
person
Provider Business Mailing Address Details
Address
123 Weaver Rd Ste B
City
State
Zip
30512-3155
Phone Number
170-643-9648
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
RN168368 (Georgia)
Definition
Definition to come...
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