Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANASTACIA P MODO
Active Sole ProprietorANASTACIA P MODO is a Nurse Practitioner healthcare provider located in AUSTELL, Georgia. NPI 1831692110 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · AUSTELL, GA
Registration Details
- NPI Number
- 1831692110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2018 (8.4235933487167 yrs)
- Last Updated
- Dec 11, 2019
- Licenses
-
RN241610 (GA)241610 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1810 MULKEY RDAUSTELL, GA, 301061151Browse GA providers · Browse ZIP 30106
- Phone
- 6785407597
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
Other Nurse Practitioner Providers in AUSTELL, GA
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN BOLAND | CNP | 1588653091 |
| MRS. MELANIE B COON | CNP | 1447240932 |
| MS. LOUANN PRESSELL | C.N.P | 1972593044 |
| MS. CHERYL LYNN NORRIS | MSN | 1437137411 |
| MS. GEORGIA RONNINGEN | CNM | 1639144124 |
| LINDA TURBERVILLE-TRUJILLO | NP | 1629009287 |
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.