BOELLA ENTERPRISES,LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1922339837- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 811 KENNESAW AVE NW, MARIETTA, GA, 300601002
- Phone
- (770) 422-2451
- Fax
- (770) 499-2235
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: GA #RN054027NP