| Marisol Paz Coughlin, FNP-C | |
|
5670 Old Winder Hwy Ste 101, Braselton, GA 30517-1239 | |
| (770) 709-6922 | |
| (770) 709-6910 |
| Full Name | Marisol Paz Coughlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5670 Old Winder Hwy Ste 101, Braselton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427529742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN-NP325475 (Georgia) | Primary |
| 163W00000X | Registered Nurse | RN325475 (Georgia) | Secondary |
| Entity Name | Maryland Medical First PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013005016 PECOS PAC ID: 1850329715 Enrollment ID: O20050801001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisol Paz Coughlin, FNP-C 5670 Old Winder Hwy Ste 101, Braselton, GA 30517-1239 Ph: (770) 709-6922 | Marisol Paz Coughlin, FNP-C 5670 Old Winder Hwy Ste 101, Braselton, GA 30517-1239 Ph: (770) 709-6922 |
Mrs. Kimberly Michel Davis, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-848-8000 |
Ashley Banks, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1223 Friendship Rd Ste 100, Braselton, GA 30517 Phone: 678-205-8387 Fax: 678-808-1039 |
Veronica Eberhart, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025 |
Stephanie Michelle Dees, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 |
Mrs. Rachel Warzon, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 |
Anamaria Mcclaude, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 River Pl Ste 200, Braselton, GA 30517 Phone: 770-848-9310 Fax: 770-848-9311 |
Mr. Joseph Henry Kanclerz, MSN, NP-C, RNFA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5742 Allee Way, Braselton, GA 30517 Phone: 678-591-8344 |