Amanda Brantley Batlle, CPNP

Individual provider Active NPI Pediatric Nurse Practitioner · Avondale Estates, GA

NPI 1346519261 · NPPES record last updated Oct 1, 2014

Key facts

NPI
1346519261
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
RN214358 (GA)
Practice address
3284 Wiltshire Dr
Avondale Estates, GA 30002-1638
Phone
(678) 793-0542
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN214358GAMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN214358 GA Yes

Addresses

Primary practice location

3284 Wiltshire Dr
Avondale Estates, GA 30002-1638

Mailing address

3284 Wiltshire Dr
Avondale Estates, GA 30002-1638
Phone (678) 793-0542

Other names

  • Amanda Morain Brantley Former name

Other providers in Avondale Estates, GA

All providers in Avondale Estates, GA · Pediatric Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.