Provider Demographics
NPI:1568640019
Name:PEVERINI, CHRISTINE MARIE (DNP, ARNP, ANP-BC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:PEVERINI
Suffix:
Gender:F
Credentials:DNP, ARNP, ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE STE A2233
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-5093
Mailing Address - Fax:404-778-8665
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:SUITE A 2447
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-5545
Practice Address - Fax:404-778-5035
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN200011363LA2200X
FL2630002363LA2200X
GA200011207RA0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0002XAllopathic & Osteopathic PhysiciansInternal MedicineAdult Congenital Heart Disease
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health