ELISABETH ANN PROENZA

VIDALIA, GA
NPI1619591120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN156767)
Enumeration Date2020-05-31
Last Update Date2021-12-08
Business Address
Mrs. ELISABETH ANN PROENZA FNP-C
210 MOSE COLEMAN DR
VIDALIA, GA 30474-8677
Phone number: 912-308-6484
Mailing Address
Mrs. ELISABETH ANN PROENZA FNP-C
210 MOSE COLEMAN DR
VIDALIA, GA 30474-8677
Phone number: 912-537-2200