person
Mira Desai, AGPCNP
Adult Health Nurse Practitioner in Stone Mountain, Georgia
NPI 1538559190

Mira Desai is an Adult Health Nurse Practitioner based in Atlanta, GA and is specialized in Adult Health. Mira Desai practices in Stone Mountain, GA and has the professional credentials of AGPCNP. The NPI Number for Mira Desai is 1538559190 and holds a License No. 0001299163 (Georgia).

The current practice location address for Mira Desai is 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA and can be reached out via phone at 470-444-3134 and via fax at 470-276-4370.

Location: 1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
person
Provider Profile Details
NPI Number
1538559190
Provider Name
Mira Desai
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
1825 Rockbridge Rd Ste 15B, Stone Mountain, GA, 30374-0015
Phone Number
470-444-3134
Fax Number
470-276-4370
Provider Enumeration Date
02/03/2015
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider Business Mailing Address Details
Address
1825 Rockbridge Rd Ste 15B
City
State
Zip
30087-3306
Phone Number
470-444-3134
Fax Number
470-276-4370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
041426832 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN03074 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
0001299163 (Virginia)
Definition
Definition to come...
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