STEFKA MENTOR


Address: 2726 Raven Wood Dr, Snellville, GA 30078-3750
Phone: 7708450277

STEFKA MENTOR (NPI# 1619513710) 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) 1619513710
Entity Type Individual
Full Name STEFKA MENTOR
Credential AGPCNP-BC
Practice Address 2726 Raven Wood Dr
Snellville
GA 30078-3750
Practice Telephone 7708450277
Mailing Telephone 7708450277
Enumeration Date 2019-11-23
Last Update Date 2019-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN289471 GA Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN289471 GA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN289471 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2726 RAVEN WOOD DR
City SNELLVILLE
State GA
Zip Code 30078-3750

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043664998 Shannon Maria Saroka Nurse Practitioner 2160 Fountain Dr Ste D, Snellville, GA 30078-7022 2016-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1396350997 Ellen Allen Nurse Practitioner 8040 Highway 54, Sharpsburg, GA 30277-2112 2020-09-10
1588277867 Saleta Anica Brogdon Nurse Practitioner 10 Muirfield Dr, Covington, GA 30016-6536 2020-08-26
1043828106 Shonkeisha Byrd Nurse Practitioner 1160 Great River Pkwy, Lawrenceville, GA 30045-7015 2020-07-15
1558982272 Irene Kamau Nurse Practitioner 3605 Glenbarrett Ln Ne, Marietta, GA 30066-8509 2020-05-05
1891324133 Branette Young Nurse Practitioner 1120 Lehavre Ct, Hampton, GA 30228-3022 2020-04-08
1851938559 Sandra Holloway Nurse Practitioner 607 Bethany St, Sparks, GA 31647-7139 2019-12-02
1013550508 Monica Smart Mills Nurse Practitioner 8315 Champion Trl, Fairburn, GA 30213-4739 2019-10-28
1063053478 Emily Elizabeth Adams Nurse Practitioner 887 W Marietta St Nw, Atlanta, GA 30318-5252 2019-10-07
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Competitor

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City SNELLVILLE
Zip Code 30078

Improve Information

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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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