Provider Demographics
NPI:1710766571
Name:PRESTWICH, KARALYN (DNP, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:KARALYN
Middle Name:
Last Name:PRESTWICH
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 WOODBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-2158
Mailing Address - Country:US
Mailing Address - Phone:770-625-6782
Mailing Address - Fax:
Practice Address - Street 1:2402 WOODBRIDGE DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2158
Practice Address - Country:US
Practice Address - Phone:770-625-6782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN279507363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health