| Selina Fambro, FNP | |
|
3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 | |
| (770) 240-0923 | |
| (470) 986-7229 |
| Full Name | Selina Fambro |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3052 Shallowford Rd Ste 100, Marietta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215548003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 196231 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Tlc Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175 |
| Entity Name | Mc Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356907695 PECOS PAC ID: 4183955974 Enrollment ID: O20191009000622 |
| Entity Name | Utm Of Georgia Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255893038 PECOS PAC ID: 5991138307 Enrollment ID: O20191125002037 |
| Mailing Address | Practice Location Address |
|---|---|
| Selina Fambro, FNP 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 Ph: (770) 240-0923 | Selina Fambro, FNP 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 Ph: (770) 240-0923 |
Mrs. Jennifer Irene Sarno, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 400, Marietta, GA 30060 Phone: 770-422-3602 | |
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064 Phone: 678-802-8665 Fax: 678-540-4250 | |
Stacey Glass Malstrom, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 | |
Tanisha Leonard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-528-9938 | |
Julie J Baute, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne Ste 205, Marietta, GA 30060 Phone: 678-224-6198 | |
Dr. Ibisa Comfort Onyirimba, DNP, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2481 Hurt Rd Sw, Marietta, GA 30008 Phone: 404-934-2420 | |
Mrs. Susan Wanjiku Kamau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1579 Sage Ridge Dr, Marietta, GA 30064 Phone: 404-643-0444 |