Provider Demographics
NPI:1225442783
Name:COMMUNITY ADVANCED PRACTICE NURSES, INC.
Entity Type:Organization
Organization Name:COMMUNITY ADVANCED PRACTICE NURSES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, NP-C, FNP
Authorized Official - Phone:404-658-1500
Mailing Address - Street 1:173 BOULEVARD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1468
Mailing Address - Country:US
Mailing Address - Phone:404-658-1500
Mailing Address - Fax:404-658-1535
Practice Address - Street 1:173 BOULEVARD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1468
Practice Address - Country:US
Practice Address - Phone:404-658-1500
Practice Address - Fax:404-658-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center