Provider / Organization | NPI | Date Certified |
---|---|---|
CARRIE ALLEN MAGUIRE | 1154720860 | 2024-08-11 |
Carrie Allen Maguire is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1154720860. Registration indicates Carrie Allen Maguire is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Mrs. Carrie Allen Maguire CPNP, PMHS |
Practice Office Address | 3745 CHEROKEE ST NW STE 401 KENNESAW, GA US |
Practice Office Telephone | 7704291005 |
Mailing Address | 3745 CHEROKEE ST NW STE 401 KENNESAW, GA 301446787 US |
Business Telephone | 7704291005 |
Code | Practice | License No State |
---|---|---|
363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN201380
GA |