Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN DELUISE LICCARDO, CPNP-PC
ActiveKATHRYN DELUISE LICCARDO, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in BUFORD, Georgia. NPI 1497380497 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · BUFORD, GA
Registration Details
- NPI Number
- 1497380497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 10, 2020 (6.4314713695647 yrs)
- Last Updated
- Oct 30, 2025
- License
-
APRN-NP223459 (GA)
Practice Information
- Address
-
4095 S LEE STBUFORD, GA, 305183647Browse GA providers · Browse ZIP 30518
- Phone
- 7709328519
- Fax
- 7705334798
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
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.