Shorter, Brenda

Shorter, Brenda is an individual health care provider with primary practice located at 980 Johnson Fy Rd Ne Ste 620 , Atlanta GA 30342. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Shorter, Brenda can be contacted via phone (404) 252-9751.

Contact Information

Primary practice address
980 Johnson Fy Rd Ne Ste 620 Atlanta GA 30342
Phone: (404) 252-9751
Fax: (678) 990-5763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN139907 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN139907 Georgia

Profile Details

NPI number 1336148188
LBN Legal business name Shorter, Brenda
Credentials NP-C, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jul 26th, 2018 - about 7 years ago

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 1336148188 NPPES
Georgia MEDICAID 713532283B
Georgia MEDICAID 713532283C
Georgia MEDICAID 713532283A

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