NPI 1053908186 · live from the CMS NPI Registry
Gambo Abdullahi
Registered Nurse, Psych/Mental Health, Adult in Marietta, GA. National Provider Identifier 1053908186, active.
NPI record
| NPI | 1053908186 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2118 Cumberland Creek Trl Sw, Marietta, GA 30008 |
| Practice phone | 404-641-0505 |
| Enumerated | December 23, 2020 |
| Last updated | December 23, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 298790 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.