| Hassanatu Idibia, | |
|
3421 Meadow Grass Dr, Dacula, GA 30019-1360 | |
| (571) 337-8856 | |
| Not Available |
| Full Name | Hassanatu Idibia |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3421 Meadow Grass Dr, Dacula, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699631135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN093903 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Hassanatu Idibia, 3421 Meadow Grass Dr, Dacula, GA 30019-1360 Ph: (571) 337-8856 | Hassanatu Idibia, 3421 Meadow Grass Dr, Dacula, GA 30019-1360 Ph: (571) 337-8856 |
Andrea Regina Hall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: Po Box 206, Dacula, GA 30019 Phone: 470-714-9009 | |
Mr. Yusuff A Adams, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 250 Ballyshannon Dr, Dacula, GA 30019 Phone: 470-424-0025 |