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Marie Scarlette Mupada Rivas, CNP
Family Nurse Practitioner in Atlanta, Georgia
NPI 1730572512

Marie Scarlette Mupada Rivas is a Family Nurse Practitioner based in Atlanta, GA and is specialized in Family. Marie Scarlette Mupada Rivas practices in Atlanta, GA and has the professional credentials of CNP. The NPI Number for Marie Scarlette Mupada Rivas is 1730572512 and holds a License No. RN220801 (Georgia).

The current practice location address for Marie Scarlette Mupada Rivas is 993 Johnson Fery Rd, Atlanta, GA and can be reached out via phone at 404-780-7860 and via fax at 404-851-8673.

Location: 993 Johnson Fery Rd, Atlanta, GA, 30342
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Provider Profile Details
NPI Number
1730572512
Provider Name
Marie Scarlette Mupada Rivas
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
993 Johnson Fery Rd, Atlanta, GA, 30342
Phone Number
404-780-7860
Fax Number
404-851-8673
Provider Enumeration Date
03/18/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
003174611C 05 GA
003174611A 05 GA
003174611D 05 GA
institution
Provider Business Practice Location Address Details
Address
993 Johnson Fery Rd
City
State
Zip
30342-1620
Phone Number
404-780-7860
Fax Number
404-851-8673
person
Provider Business Mailing Address Details
Address
993 Johnson Fery Rd
City
State
Zip
30342-1620
Phone Number
404-780-7860
Fax Number
404-851-8673
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN220801 (Georgia)
Definition
Definition to come...
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