Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN235415 | GA |
NPI | 1013525005 |
---|---|
Provider Name | Mrs. Dhariniben Patel |
First Address | Savannah, GA 31406-5027 |
Second Address | Savannah, GA 31406-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2020 |
Last Update Date | 16/07/2020 |