| Noushin Vastani, | |
|
990 Peachtree Industrial Blvd Unit 482, Suwanee, GA 30024-5204 | |
| (678) 908-1149 | |
| (949) 695-4856 |
| Full Name | Noushin Vastani |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 990 Peachtree Industrial Blvd Unit 482, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457829806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN202976 (Georgia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN202976 (Georgia) | Primary |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Noushin Vastani, 5925 Caveat Ct, Suwanee, GA 30024-4415 Ph: () - | Noushin Vastani, 990 Peachtree Industrial Blvd Unit 482, Suwanee, GA 30024-5204 Ph: (678) 908-1149 |
Lindsey Nye Davis, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024 Phone: 770-622-5758 | |
Ms. Kimberly Erika Dowe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 678-937-0300 Fax: 678-405-1660 | |
Karen Elizabeth Dunmire, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6918 Mcginnis Ferry Rd Ste 200, Suwanee, GA 30024 Phone: 770-622-5758 | |
Linda Esosa Uwakwe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5215 Corbin Ct, Suwanee, GA 30024 Phone: 404-567-9442 | |
Amauwia Okivie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 961 Heathchase Dr, Suwanee, GA 30024 Phone: 678-463-5695 | |
Courtney Esperanza Espina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Peachtree Industrial Blvd Ste 201, Suwanee, GA 30024 Phone: 470-326-5560 | |
Jasmine Rose Ling Duan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 678-402-9550 Fax: 675-802-5765 |