Nell-Dybdahl, Christine L

Nell-Dybdahl, Christine L is an individual health care provider with primary practice located at 1404 River Pl Ste 501 , Braselton GA 30517-5600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nell-Dybdahl, Christine L can be contacted via phone (770) 848-7160.

Contact Information

Primary practice address
1404 River Pl Ste 501 Braselton GA 30517-5600
Phone: (770) 848-7160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN127904 Georgia

Profile Details

NPI number 1750476370
LBN Legal business name Nell-Dybdahl, Christine L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750476370 NPPES
Georgia MEDICAID 119156627A

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