Nastav, Michelle Johnson

Nastav, Michelle Johnson is an individual health care provider with primary practice located at 4222 Fairbanks Dr , Oakwood GA 30566-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nastav, Michelle Johnson can be contacted via phone (770) 534-6053.

Contact Information

Primary practice address
4222 Fairbanks Dr Oakwood GA 30566-2811
Phone: (770) 534-6053
Fax: (770) 534-6695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN227847 Georgia

Profile Details

NPI number 1194283531
LBN Legal business name Nastav, Michelle Johnson
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2019
Last updated Jul 10th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194283531 NPPES
Georgia Other 1821929 WELLCARE
Georgia MEDICAID 003216418A WELLCARE
Georgia Other 06734983 WELLCARE

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