NADIYAH GARDNER


Address: 1790 Mulkey Rd Ste 3b, Austell, GA 30106-1122
Phone: 7708196825

NADIYAH GARDNER (NPI# 1144701855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144701855
Entity Type Individual
Full Name NADIYAH GARDNER
Credential RN
Practice Address 1790 Mulkey Rd Ste 3b
Austell
GA 30106-1122
Practice Telephone 7708196825
Mailing Telephone 7708196825
Enumeration Date 2018-08-22
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1500X Registered Nurse
Specialization: Community Health
RN243672 GA Nursing Service Providers
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN243672 GA Nursing Service Providers

Office Location

Street Address 1790 MULKEY RD STE 3B
City AUSTELL
State GA
Zip Code 30106-1122

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134744717 Leighana Caldwell Registered Nurse 4104 Springridge Ct, Powder Springs, GA 30127-3546 2020-06-10
1083236087 Adenike Anne Apata Registered Nurse 3796 Okefenokee Rdg, Loganville, GA 30052-7167 2020-05-12
1780233452 Kellie Tedisco Registered Nurse 129 Kelly Farm Dr, Luthersville, GA 30251-1607 2019-09-05
1114575859 Justin Vassell Registered Nurse 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 2019-08-27
1871053819 Gay Nell Robinson Registered Nurse 733 Erika Ln, Grovetown, GA 30813-8305 2019-03-25
1184123812 Alex Whitman Peterson Registered Nurse 1010 Huntcliff Ste 1350, Atlanta, GA 30350-1809 2018-02-08
1629586748 Dianne Marie Knettel Registered Nurse 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 2018-01-11
1205347630 Caroline R Mckinnon Registered Nurse 688 Lambeth Dr, Evans, GA 30809-4272 2017-10-12
1619499357 Orchid Archer Registered Nurse 702 Riverbend Drive, Martinez, GA 30907 2017-07-14
1407381817 Divine Psychiatric Care Registered Nurse 2651 Cedar Dr, Lawrenceville, GA 30043-1325 2017-04-23
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Competitor

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City AUSTELL
Zip Code 30106

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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