Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA DESAI, AGPCNP
ActiveMIRA DESAI, AGPCNP is a Gerontological Nurse Practitioner healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1538559190 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · STONE MOUNTAIN, GA
Registration Details
- NPI Number
- 1538559190
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2015 (11.494637845326 yrs)
- Last Updated
- Jun 6, 2025
- Licenses
-
RN309281 (GA)APRN03074 (RI)13875 (CT)0001299163 (VA)277.002161 (IL)
Practice Information
- Address
-
1825 ROCKBRIDGE RD STE 15BSTONE MOUNTAIN, GA, 300873306Browse GA providers · Browse ZIP 30087
- Phone
- 4704443134
- Fax
- 4702764370
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in STONE MOUNTAIN, GA
| Name | Credential | NPI |
|---|---|---|
| MARC ELIE CAYEMITTE | AGNP-C | 1073327664 |
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.