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Contact Information

JOSEPH H KANCLERZ, MSN, NP-C, RNFA
5742 ALLEE WAY
BRASELTON, GA30517-6268
 Phone: 678-591-8344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for JOSEPH H KANCLERZ · (Male)

NPI # 1164697355
Status Active
Credentials MSN, NP-C, RNFA
Entity Individual
Enumeration date 04/28/2008
Last updated 10/13/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN177592
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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