Nicole B Spitalnick, CPNP
Nurse Practitioner, Pediatrics in Hiram, GA. Individual provider (NPI-1).
NPI number1801022017
StatusActive
Last updated in NPPESDec 8, 2011
Details
- NPI
- 1801022017
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole B Spitalnick
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2009
- Last updated
- Dec 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN197580 | GA | Yes |
Practice location
51 Hiram DrBuilding B
Hiram, GA 30141-1844
Phone 678-945-8300 · Fax 770-445-2060
Mailing address
51 Hiram DrBuilding B
Hiram, GA 30141-1844
Phone 678-945-8300 · Fax 770-445-2060
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