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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAM MUSTAPHA, CRNA

Active

MARIAM MUSTAPHA, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in LOGANVILLE, Georgia. NPI 1376221739 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · LOGANVILLE, GA

Registration Details

NPI Number
1376221739
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2023 (3.1246239342519 yrs)
Last Updated
Aug 6, 2025
License
RN275428 (GA)

Practice Information

Address
624 HENSON FARM DR
LOGANVILLE, GA, 300526528
Browse GA providers · Browse ZIP 30052
Phone
6787099828
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in LOGANVILLE, GA

Name Credential NPI
KADASHA FAIRCLOUGH RN 1184260275
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.