| Natacha Etienne Mpile, FNP-BC | |
|
3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022-4458 | |
| (770) 442-1911 | |
| Not Available |
| Full Name | Natacha Etienne Mpile |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 3905 Brookside Pkwy Ste 300, Alpharetta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538671532 | NPI | - | NPPES |
| 2019074541 | Other | GA | ANCC CERTIFICATION |
| RN175038 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN175038 (Georgia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN175038 (Georgia) | Primary |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | Kidney Care Center Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588981187 PECOS PAC ID: 9638200819 Enrollment ID: O20100702000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Natacha Etienne Mpile, FNP-BC 663 Lanier Park Dr, Gainesville, GA 30501-2059 Ph: (678) 904-4742 | Natacha Etienne Mpile, FNP-BC 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022-4458 Ph: (770) 442-1911 |
Kathleen Marie Sklivagkos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 Old Milton Pkwy Ste 150, Alpharetta, GA 30009 Phone: 770-274-9511 | |
Mr. Terrance B Henderson, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy Ste 302, Alpharetta, GA 30005 Phone: 404-800-5181 | |
Amy Labib, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3180 N Point Pkwy, Alpharetta, GA 30005 Phone: 678-224-8686 | |
Julia Weirbach, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 960 N Point Pkwy Ste 120, Alpharetta, GA 30005 Phone: 770-800-3353 | |
Regan J Kudlata, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy # C, Ste 190, Alpharetta, GA 30005 Phone: 404-832-0300 | |
Joanna M Huff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Milton Ave, Alpharetta, GA 30009 Phone: 425-449-1571 | |
Gina Leeann Bauknecht, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022 Phone: 770-442-1911 |