Elizabeth D'Agostino, NP
Nurse Practitioner, Pediatrics, Critical Care in Atlanta, GA. Individual provider (NPI-1).
NPI number1104385087
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1104385087
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elizabeth D'Agostino
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2019
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0222X | Nurse Practitioner, Pediatrics, Critical Care | RN249789 | GA | Yes |
| 163W00000X | Registered Nurse | RN249789 | GA |
Practice location
1405 Clifton Rd NeAtlanta, GA 30322-1060
Phone 404-785-6400
Mailing address
1405 Clifton Rd NeAtlanta, GA 30322-1060
Phone 404-785-6400
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