NPI 1780167452 · live from the CMS NPI Registry
Adenike Alaga
Nurse Practitioner in Dacula, GA. National Provider Identifier 1780167452, active.
NPI record
| NPI | 1780167452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 3196 Dolostone Way, Dacula, GA 30019 |
| Practice phone | 404-514-6694 |
| Enumerated | September 10, 2018 |
| Last updated | January 12, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | RN192153 (GA) |
| Registered Nurse, General Practice | 163WG0000X | RN192153 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.