Denise Alicia Mick, NP
Nurse Practitioner, Acute Care in Marietta, GA. Individual provider (NPI-1).
NPI number1164064945
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1164064945
- Entity type
- Individual (NPI-1)
- Name
- Denise Alicia Mick
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2019
- Certification date
- Jul 6, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | NCO-000008 | GA | Yes |
| 163WN0800X | Registered Nurse, Neuroscience | RN152372 | GA |
Practice location
677 Church St Wellstar Kennestone HospitalMarietta, GA 30060
Phone 678-923-8877
Mailing address
677 Church St Wellstar Kennestone HospitalMarietta, GA 30060
Phone 678-923-8877
Other practice locations
3950 Austell Rd
Austell, GA 30106-1121
Austell, GA 30106-1121
Phone 770-941-4716
3950 Austell Rd
Austell, GA 30106-1121
Austell, GA 30106-1121
Phone 770-944-3916
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