QUATINA LASHA RIVERS-FLEMING


Address: 522 Ivy Chase Loop, Dallas, GA 30157-0946
Phone: 8154507959

QUATINA LASHA RIVERS-FLEMING (NPI# 1306401419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306401419
Entity Type Individual
Full Name QUATINA LASHA RIVERS-FLEMING
Credential AGACNP-BC
Practice Address 522 Ivy Chase Loop
Dallas
GA 30157-0946
Practice Telephone 8154507959
Mailing Telephone 8154507959
Enumeration Date 2019-05-03
Last Update Date 2019-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN239384 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 522 IVY CHASE LOOP
City DALLAS
State GA
Zip Code 30157-0946

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City DALLAS
Zip Code 30157

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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