Most Relevant Information
Provider Data
| NPI Number: | 1003031097 |
| Provider Name: | BRENDA KAY CIBULAS APRN, BC, CGP |
| Entity Type: | Individual |
| Taxonomy Code: | 364SP0808X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | RN078372 |
Most Important Dates
| Enumeration Date: | 04/16/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
450 WINN WAY
DECATUR
GA
300301715
Practice Location Phone/Fax
| Phone: | 4042940499 |
| Fax: |
Provider Mailing Location
2995 SUTTON GLN
MARIETTA
GA
300624540
Provider Mailing Phone/Fax
| Phone: | 7705781206 |
| Fax: |