MIRA DESAI, AGPCNP

Nurse Practitioner - Gerontology

Active Individual
NPI: 1538559190

Practice Address

1825 ROCKBRIDGE RD STE 15B
Stone Mountain, GA 30087

Phone: (470) 444-3134

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No RN309281 (GA)
Nurse Practitioner - Gerontology 363LG0600X Yes 277.002161 (IL)

Frequently Asked Questions

NPI 1538559190 is the National Provider Identifier for MIRA DESAI, AGPCNP, a Nurse Practitioner - Gerontology provider located in Stone Mountain, GA. This NPI was enumerated on February 3, 2015.
MIRA DESAI, AGPCNP practices at 1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087.

Quick Facts

NPI
1538559190
Type
Individual
Enumerated
Feb 3, 2015
Last Updated
Jun 6, 2025

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