Ndaptso, Mirianda Mazongeh
Ndaptso, Mirianda Mazongeh is an sole proprietor health care provider with primary practice located at 3008 Edgefield Dr Sw , Marietta GA 30008-7665. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ndaptso, Mirianda Mazongeh can be contacted via phone (678) 497-5145.Contact Information
Primary practice address
3008 Edgefield Dr Sw
Marietta GA 30008-7665
Phone: (678) 497-5145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | 2016043488 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | GAA-NPO00690 | Georgia |
Profile Details
| NPI number | 1205429941 |
|---|---|
| LBN Legal business name | Ndaptso, Mirianda Mazongeh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2021 |
| Last updated | Jul 16th, 2024 - 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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