Andrea Isamar Avila
Nurse Practitioner - Pediatrics
4166 Buford Hwy Ne Suite 1102
Atlanta
, Georgia 30345-1081
Andrea Isamar Avila
Nurse Practitioner - Pediatrics
4166 Buford Hwy Ne Suite 1102
Atlanta
, Georgia 30345-1081
(678) 899-3556
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Andrea Isamar Avila
- 2378 Iron Horse Dr
- Douglasville, GA
- Zip : 30135-1383
- Phone : (678) 899-3556
Second Address
- Andrea Isamar Avila
- 4166 Buford Hwy Ne Suite 1102
- Atlanta, GA
- Zip : 30345-1081
- Phone : (404) 785-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN243475 | GA |
National Provider Identifier
| NPI | 1043679913 |
|---|---|
| Provider Name | Andrea Isamar Avila |
| First Address | Douglasville, GA 30135-1383 |
| Second Address | Atlanta, GA 30345-1081 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2016 |
| Last Update Date | 19/02/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.