NPI 1669367702 · live from the CMS NPI Registry
Kirsten Nicole Aanensen, PA-C
Physician Assistant in Atlanta, GA. National Provider Identifier 1669367702, active.
NPI record
| NPI | 1669367702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2220 N Druid Hills Rd Ne, Atlanta, GA 30329 |
| Practice phone | 717-371-2607 |
| Enumerated | June 10, 2025 |
| Last updated | October 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 13240 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.