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Mrs. Elisabeth Ann Proenza, FNP-C
Family Nurse Practitioner in Vidalia, Georgia
NPI 1619591120

Elisabeth Ann Proenza is a Family Nurse Practitioner based in Vidalia, GA and is specialized in Family. Elisabeth Ann Proenza practices in Vidalia, GA and has the professional credentials of FNP-C. The NPI Number for Elisabeth Ann Proenza is 1619591120 and holds a License No. RN156767 (Georgia).

The current practice location address for Elisabeth Ann Proenza is 210 Mose Coleman Dr, Vidalia, GA and can be reached out via phone at 912-308-6484.

Location: 210 Mose Coleman Dr, Vidalia, GA, 30474-8677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619591120
Provider Name
Elisabeth Ann Proenza
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
210 Mose Coleman Dr, Vidalia, GA, 30474-8677
Phone Number
912-308-6484
Fax Number
Provider Enumeration Date
05/31/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN156767 01 GA ADVANCED PRACTICE -NP NUMBER
institution
Provider Business Practice Location Address Details
Address
210 Mose Coleman Dr
City
Vidalia
State
Georgia
Zip
30474-8677
Phone Number
912-308-6484
Fax Number
person
Provider Business Mailing Address Details
Address
210 Mose Coleman Dr
City
Vidalia
State
Georgia
Zip
30474-8677
Phone Number
912-308-6484
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN156767 (Georgia)
Definition
Definition to come...
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