Provider Demographics
NPI:1770874455
Name:BARLOW, LAURA NANNINI (NP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:NANNINI
Last Name:BARLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:LEIGH
Other - Last Name:NANNINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2045 PEACHTREE RD NE
Mailing Address - Street 2:SUITE T1
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1414
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:205-755-8882
Practice Address - Street 1:2045 PEACHTREE RD NE
Practice Address - Street 2:SUITE T1
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1414
Practice Address - Country:US
Practice Address - Phone:205-910-1590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2822101YP2500X
GARN245697363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional