Pantaleon, Paola

Pantaleon, Paola is an individual health care provider with primary practice located at 3790 Holcomb Bridge Rd , Peachtree Corners GA 30092-4801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pantaleon, Paola can be contacted via phone (470) 545-0305.

Contact Information

Primary practice address
3790 Holcomb Bridge Rd Peachtree Corners GA 30092-4801
Phone: (470) 545-0305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN216518 Georgia

Profile Details

NPI number 1992310205
LBN Legal business name Pantaleon, Paola
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - about 6 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 1992310205 NPPES
Georgia Other RN216518 ADVANCED PRACTICE NURSE PRACTITIONER LICENSE NUMBER

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