AHTYANNA KENDRICK CPNP-PC NPI 1437830775

NPI Information

NPI: 1437830775
Provider Name: AHTYANNA KENDRICK, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
626 DALLAS HWY
VILLA RICA, GA
ZIP 30180
Phone: (770) 459-9378
Get Directions

Ahtyanna Kendrick, CPNP-PC is a pediatrics nurse practitioner in Villa Rica, GA. Ahtyanna Kendrick, CPNP-PC NPI is 1437830775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

626 DALLAS HWY
VILLA RICA, GA
ZIP 30180-209
Phone: (770) 459-9378

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN308162	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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