Belizaire, Wildwine
Belizaire, Wildwine is an individual health care provider with primary practice located at 6919 Peachtree Dunwoody Rd Apt 346 , Sandy Springs GA 30328-1732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Belizaire, Wildwine can be contacted via phone (347) 988-6474.Contact Information
Primary practice address
6919 Peachtree Dunwoody Rd Apt 346
Sandy Springs GA 30328-1732
Phone: (347) 988-6474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN315873 | Georgia |
Profile Details
| NPI number | 1356032056 |
|---|---|
| LBN Legal business name | Belizaire, Wildwine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2023 |
| Last updated | May 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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