Provider Demographics
NPI:1740662378
Name:PATTI, FARRAH D (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:FARRAH
Middle Name:D
Last Name:PATTI
Suffix:
Gender:F
Credentials:FNP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:755 MOUNT VERNON HWY NE
Mailing Address - Street 2:STE 460
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4274
Mailing Address - Country:US
Mailing Address - Phone:404-252-7900
Mailing Address - Fax:404-252-7905
Practice Address - Street 1:755 MOUNT VERNON HWY NE
Practice Address - Street 2:STE 460
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4274
Practice Address - Country:US
Practice Address - Phone:404-252-7900
Practice Address - Fax:404-252-7905
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN177900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN177900OtherAPRN