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Heinrich Von Ewegen, FNP-BC
Family Nurse Practitioner in Dallas, Georgia
NPI 1891369021

Heinrich Von Ewegen is a Family Nurse Practitioner based in Dallas, GA and is specialized in Family. Heinrich Von Ewegen practices in Dallas, GA and has the professional credentials of FNP-BC. The NPI Number for Heinrich Von Ewegen is 1891369021 and holds a License No. RN146338 (Georgia).

The current practice location address for Heinrich Von Ewegen 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
1891369021
Provider Name
Heinrich Von Ewegen
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
495 Charles Hardy Pkwy, Dallas, GA, 30157-5723
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
05/12/2021
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.
RN146338 (Georgia)
Definition
Definition to come...
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