Beatrice Nduwimana

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Rex, GA

NPI 1962010975 · NPPES record last updated Jun 4, 2025

Key facts

NPI
1962010975
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
241139 (GA)
Practice address
3499 Henley St
Rex, GA 30273-1758
Phone
(404) 642-2595
NPI assigned
Jul 15, 2020
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)
Yes

State licenses

LicenseStateTypeSpecialty
241139GAMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 241139 GA Yes

Addresses

Primary practice location

3499 Henley St
Rex, GA 30273-1758

Mailing address

990 Hammond Dr # 525
Sandy Springs, GA 30328-5529
Phone (404) 642-2595

Other names

  • Beatrice Nahishakiye Former name

Other providers in Rex, GA

All providers in Rex, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.