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Contact Information

NATALI N GAVRIELOV
5913 RUE VILLA LN
TUCKER, GA30084-1964
 Phone: 770-846-5718
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for NATALI N GAVRIELOV · (Female)

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
  • GA License # APRN-NP290310
  • GA License # RN290310
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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