Provider Demographics
NPI:1700047545
Name:NARAIN, AMELIA R (NP)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:R
Last Name:NARAIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3680 WARWICK WAY
Mailing Address - Street 2:IN MY GARDEN
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-8068
Mailing Address - Country:US
Mailing Address - Phone:404-964-2805
Mailing Address - Fax:
Practice Address - Street 1:3680 WARWICK WAY
Practice Address - Street 2:IN MY GARDEN
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-8068
Practice Address - Country:US
Practice Address - Phone:404-964-2805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN115333163WG0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice