MRS. TALITHA BROOKS-ANDINO AGNP NPI 1689048290

NPI Information

NPI: 1689048290
Provider Name: MRS. TALITHA BROOKS-ANDINO, AGNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
4778 N HENRY BLVD
SUITE 202
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-8781
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MRS. Talitha Brooks-andino, AGNP is a primary care nurse practitioner in Stockbridge, GA. MRS. Talitha Brooks-andino, AGNP NPI is 1689048290. 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:

4778 N HENRY BLVD
SUITE 202
STOCKBRIDGE, GA
ZIP 30281-566
Phone: (770) 474-8781

The NPI 1689048290 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/19/2015 and was last updated on 11/30/2015.

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	363LA2200X	Nurse Practitioner	Adult Health	RN164445	GEORGIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	RN164445	GEORGIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	RN164445	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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