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MRS. ALYSSA DANIELLE GUNAWAN FNP-C NPI 1710426879


NPI Information

NPI: 1710426879
Provider Name: MRS. ALYSSA DANIELLE GUNAWAN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3369 BUFORD HWY NE
SUITE NUMBER 810
BROOKHAVEN, GA
ZIP 30329
Phone: (404) 321-4692
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MRS. Alyssa Danielle Gunawan, FNP-C is a family nurse practitioner in Brookhaven, GA with 8 years of experience. MRS. Alyssa Danielle Gunawan, FNP-C NPI is 1710426879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduation Year:2016

The provider's business location address is:

3369 BUFORD HWY NE
SUITE NUMBER 810
BROOKHAVEN, GA
ZIP 30329-722
Phone: (404) 321-4692

The NPI 1710426879 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 2/21/2017 and was last updated on 2/21/2017.


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
1363LF0000XNurse PractitionerFamilyRN264580GEORGIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.