Most Relevant Information
Provider Data
| NPI Number: | 1003465055 |
| Provider Name: | MAUREEN GICHARU NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN297704 |
Most Important Dates
| Enumeration Date: | 09/11/2019 |
| Last Updated: | 05/21/2021 |
Provider Practice Location
6120 HICKORY FLAT HWY
CANTON
GA
301157252
Practice Location Phone/Fax
| Phone: | 7707200610 |
| Fax: |
Provider Mailing Location
6120 HICKORY FLAT HWY
CANTON
GA
301157252
Provider Mailing Phone/Fax
| Phone: | 7707200610 |
| Fax: |