Mabell Nathalia Agudelo
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Atlanta, GA
NPI 1124547385 · NPPES record last updated Sep 19, 2017
Key facts
- NPI
- 1124547385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933 - Phone
- (678) 460-0345
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ties Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933
Mailing address
270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933
Other providers in Atlanta, GA
- Sanem Agrell
- Rachel M Agtuca
- Chiagoziem Sylvester Agu
- Gabriel Ekene Agu
- Daniela Andrea Agudelo
- Liliana I Aguilar-Pagan
- Joseph Anthony Aguilar
- Dolly Graciela Aguilera
- Suzanna R Aguilera
- Aguirre Center for Inclusive Psychotherapy
All providers in Atlanta, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.