Provider Demographics
NPI:1831464817
Name:SUNARA-WATERS, ADRIANA KAREN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:KAREN
Last Name:SUNARA-WATERS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ADRIANA
Other - Middle Name:KAREN
Other - Last Name:SUNARA-WATERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:369 AZALEA CHASE DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3909
Mailing Address - Country:US
Mailing Address - Phone:678-288-9245
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL DRIVE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2373
Practice Address - Country:US
Practice Address - Phone:404-616-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN218916363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care