Provider Demographics
NPI:1598538696
Name:PETRO, ALLISON LAURA (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LAURA
Last Name:PETRO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 PEACHTREE RD NW STE 111
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2173
Mailing Address - Country:US
Mailing Address - Phone:770-212-2242
Mailing Address - Fax:
Practice Address - Street 1:2900 PEACHTREE RD NW STE 111
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2173
Practice Address - Country:US
Practice Address - Phone:770-212-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN162998363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care