Provider Demographics
NPI:1285183566
Name:NERI, ERNESTA PAOLA
Entity Type:Individual
Prefix:
First Name:ERNESTA PAOLA
Middle Name:
Last Name:NERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 21 STREET NW
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:N/A
Mailing Address - Zip Code:T2N4Z1
Mailing Address - Country:CA
Mailing Address - Phone:403-220-3668
Mailing Address - Fax:
Practice Address - Street 1:49 JESSE HILL JR DR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3049
Practice Address - Country:US
Practice Address - Phone:404-778-1306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2017-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1175207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology