Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 156538 | GA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 156538 | GA |
NPI | 1033632047 |
---|---|
Provider Name | Ms. Esther Djangmaakwor Narhmartey-Darku |
First Address | Lilburn, GA 30047-5268 |
Second Address | Lilburn, GA 30047-5268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2017 |
Last Update Date | 18/09/2020 |