Destra, Natacha

Destra, Natacha is an individual health care provider with primary practice located at 227 Medical Way , Riverdale GA 30274. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Destra, Natacha can be contacted via phone (470) 298-7236.

Contact Information

Primary practice address
227 Medical Way Riverdale GA 30274
Phone: (470) 298-7236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN080370 Georgia

Profile Details

NPI number 1578230033
LBN Legal business name Destra, Natacha
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Aug 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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