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Gladys Mutura
Family Nurse Practitioner in Dallas, Georgia
NPI 1528685039

Gladys Mutura is a Family Nurse Practitioner based in Dallas, GA and is specialized in Family. Gladys Mutura practices in Dallas, GA. The NPI Number for Gladys Mutura is 1528685039 and holds a License No. F01201178 (Georgia).

The current practice location address for Gladys Mutura is 495 Charles Hardy Pkwy, Dallas, GA and can be reached out via phone at 866-389-2727.

Location: 495 Charles Hardy Pkwy, Dallas, GA, 30157-5723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528685039
Provider Name
Gladys Mutura
Credential
Provider Entity Type
Individual
Gender
Female
Address
495 Charles Hardy Pkwy, Dallas, GA, 30157-5723
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
06/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
495 Charles Hardy Pkwy
City
Dallas
State
Georgia
Zip
30157-5723
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
495 Charles Hardy Pkwy
City
Dallas
State
Georgia
Zip
30157-5723
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F01201178 (Georgia)
Definition
Definition to come...
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