NPI | 1902591472 |
---|---|
Doing Business As | NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN |
Entity Type | Organization |
Authorized Contact | ASATA KAMARA APRN Owner 470-918-9719 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-10-11 |