Provider Demographics
NPI:1487026993
Name:GIOVINAZZO, ANDREA ELAINE (FNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:ELAINE
Last Name:GIOVINAZZO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1742 MOUNT VERNON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4251
Mailing Address - Country:US
Mailing Address - Phone:678-691-0005
Mailing Address - Fax:404-393-1097
Practice Address - Street 1:1742 MOUNT VERNON RD STE 100
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4251
Practice Address - Country:US
Practice Address - Phone:678-691-0005
Practice Address - Fax:404-393-1097
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340136363LF0000X
GARN275821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily