Standridge, Dana Nicole

Standridge, Dana Nicole is an sole proprietor health care provider with primary practice located at 2347 Lenora Church Rd , Snellville GA 30078-3232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Standridge, Dana Nicole can be contacted via phone (770) 979-2020.

Contact Information

Primary practice address
2347 Lenora Church Rd Snellville GA 30078-3232
Phone: (770) 979-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN153198 Georgia

Profile Details

NPI number 1023154523
LBN Legal business name Standridge, Dana Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Feb 23rd, 2021 - about 3 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 1023154523 NPPES
Georgia MEDICAID 890533279B
Georgia MEDICAID 890533279A
Georgia Other P00402063

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