Noushin Vastani, | |
5925 Caveat Ct, Suwanee, GA 30024-4415 | |
(678) 908-1149 | |
Not Available |
Full Name | Noushin Vastani |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5925 Caveat Ct, Suwanee, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457829806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN202976 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN202976 (Georgia) | Primary |
Entity Name | Peachtree Immediate Care Fp, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
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Noushin Vastani, 5925 Caveat Ct, Suwanee, GA 30024-4415 Ph: () - | Noushin Vastani, 5925 Caveat Ct, Suwanee, GA 30024-4415 Ph: (678) 908-1149 |
Lindsey Nye Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024 Phone: 770-622-5758 | |
Ms. Kimberly Erika Dowe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 678-937-0300 Fax: 678-405-1660 | |
Linda Esosa Uwakwe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5215 Corbin Ct, Suwanee, GA 30024 Phone: 404-567-9442 | |
Amauwia Okivie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 961 Heathchase Dr, Suwanee, GA 30024 Phone: 678-463-5695 | |
Jasmine Rose Ling Duan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 678-402-9550 Fax: 675-802-5765 | |
Joseph Kim, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2685 Peachtree Pkwy, Suwanee, GA 30024 Phone: 770-771-5260 | |
Haritha Bommana, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4300 Westbrook Rd Bldg A, Suwanee, GA 30024 Phone: 678-765-7550 |