Provider Demographics
NPI:1417688102
Name:ISAACS, ANA MARIA (FNP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:ISAACS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:MARIA
Other - Last Name:LOPEZ CANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2665 N DECATUR RD STE 520
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6146
Mailing Address - Country:US
Mailing Address - Phone:443-838-7096
Mailing Address - Fax:
Practice Address - Street 1:2665 N DECATUR RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6149
Practice Address - Country:US
Practice Address - Phone:404-299-2223
Practice Address - Fax:404-297-5003
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297606363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner