person
Kathryn Deluise Liccardo, CPNP-PC
Pediatric Nurse Practitioner in Buford, Georgia
NPI 1497380497

Kathryn Deluise Liccardo is a Pediatric Nurse Practitioner based in Gainesville, GA and is specialized in Pediatrics. Kathryn Deluise Liccardo practices in Buford, GA and has the professional credentials of CPNP-PC. The NPI Number for Kathryn Deluise Liccardo is 1497380497 and holds a License No. RN223459 (Georgia).

The current practice location address for Kathryn Deluise Liccardo is 4095 S Lee St, Buford, GA and can be reached out via phone at 770-932-8519 and via fax at 770-533-4798.

Location: 4095 S Lee St, Buford, GA, 30503-0658
person
Provider Profile Details
NPI Number
1497380497
Provider Name
Kathryn Deluise Liccardo
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
4095 S Lee St, Buford, GA, 30503-0658
Phone Number
770-932-8519
Fax Number
770-533-4798
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4095 S Lee St
City
State
Zip
30518-3647
Phone Number
770-932-8519
Fax Number
770-533-4798
person
Provider Business Mailing Address Details
Address
4095 S Lee St
City
State
Zip
30518-3647
Phone Number
770-932-8519
Fax Number
770-533-4798
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
RN223459 (Georgia)
Definition
Definition to come...
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