Provider Demographics
NPI:1568963023
Name:BARIYIGA, ANN BIMBOLA (RN,CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:BIMBOLA
Last Name:BARIYIGA
Suffix:
Gender:F
Credentials:RN,CPNP-PC
Other - Prefix:
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Mailing Address - Street 1:6010 SINGLETON RD STE 209
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1963
Mailing Address - Country:US
Mailing Address - Phone:770-248-0200
Mailing Address - Fax:770-447-8500
Practice Address - Street 1:6010 SINGLETON RD STE 209
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093
Practice Address - Country:US
Practice Address - Phone:770-248-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN216411208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty