Provider Demographics
NPI:1639539125
Name:PARENT, MARIE-ANDREE (NP)
Entity type:Individual
Prefix:
First Name:MARIE-ANDREE
Middle Name:
Last Name:PARENT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3344 COBB PKWY NW STE 200
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8345
Mailing Address - Country:US
Mailing Address - Phone:866-939-9929
Mailing Address - Fax:470-761-4181
Practice Address - Street 1:3344 COBB PKWY NW STE 200
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8345
Practice Address - Country:US
Practice Address - Phone:866-939-9929
Practice Address - Fax:470-761-4181
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2025-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN186804363LP0808X, 363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health