NPI Profile for NATALI N GAVRIELOV in TUCKER, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1285487835 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/11/2024 | |
| Last updated | 02/02/2026 - About 4 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NATALI N GAVRIELOV
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