Anu Glo Med Spa, LLC.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ANU GLO MED SPA, LLC.

Practice address

2429 Main St E Ste 6
Snellville, GA 30078-3336

Phone

(404) 664-2505

NPI assigned

Sep 1, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivy Cleveland, NPNPI 1801034731

Title

Owner

Phone

(404) 664-2505

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy Cleveland, NP

  • Adult Health Nurse Practitioner
  • Snellville, GA
  • NPI 1801034731

  Acute Care

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1508470212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 STONEGATE WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786701",
            "telephone_number": "404-664-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 MAIN ST E STE 6",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783336",
            "telephone_number": "404-664-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANU GLO MED SPA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-664-2505",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkemdilim Anizor, RN
• Mark C Ankrom, A.A.
• Sylvestina Annan, LMSW
• Jennifer Anthony, LMT
• Thelma Antoine, NP
• Gertrude N. Anyakwo, M.D.
• Kelechukwu C Anyanwu, DO
• Apex Eyecare, LLC
• Apollo Emergency Physicians, LLC
• Apothecare Pharmacies Inc. (Apothecare Pharmacy 01)

• Adult Health Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.