Mrs Ingrid Pradere, FNP | |
6033 Pavestone Dr, Powder Springs, GA 30127-9525 | |
(678) 687-1757 | |
Not Available |
Full Name | Mrs Ingrid Pradere |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6033 Pavestone Dr, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104546597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN260293 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ingrid Pradere, FNP 6033 Pavestone Dr, Powder Springs, GA 30127-9525 Ph: (678) 687-1757 | Mrs Ingrid Pradere, FNP 6033 Pavestone Dr, Powder Springs, GA 30127-9525 Ph: (678) 687-1757 |
Louisa Abena Danso, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 723 Broadlands Ln, Powder Springs, GA 30127 Phone: 773-627-0879 | |
Oluwafunke Oluwafunke Chukumah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5467 Cathers Creek Dr, Powder Springs, GA 30127 Phone: 404-936-2238 | |
Ivy Black, C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4250 Brownsville Rd, Powder Springs, GA 30127 Phone: 678-567-8000 | |
Mrs. Natalie Dionne Haslem, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4171 Marietta St Ste 200, Powder Springs, GA 30127 Phone: 770-943-8701 Fax: 770-943-8936 | |
Retta Sugarpea Bright, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2274 Leatherstone Dr, Powder Springs, GA 30127 Phone: 678-852-3203 | |
Evelyn Debra Sarpong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 Streamwood Dr, Powder Springs, GA 30127 Phone: 678-448-8087 |