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Anastacia P Modo
Family Nurse Practitioner in Austell, Georgia
NPI 1831692110

Anastacia P Modo is a Family Nurse Practitioner based in Grayson, GA and is specialized in Family. Anastacia P Modo practices in Austell, GA. The NPI Number for Anastacia P Modo is 1831692110 and holds a License No. RN241610 (Georgia).

The current practice location address for Anastacia P Modo is 1810 Mulkey Rd, Austell, GA and can be reached out via phone at 678-540-7597.

Location: 1810 Mulkey Rd, Austell, GA, 30017-4280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831692110
Provider Name
Anastacia P Modo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1810 Mulkey Rd, Austell, GA, 30017-4280
Phone Number
678-540-7597
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1810 Mulkey Rd
City
Austell
State
Georgia
Zip
30106-1151
Phone Number
678-540-7597
Fax Number
person
Provider Business Mailing Address Details
Address
1810 Mulkey Rd
City
Austell
State
Georgia
Zip
30106-1151
Phone Number
678-540-7597
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
241610 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN241610 (Georgia)
Definition
Definition to come...
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