Basic Information
Provider Information
NPI: 1134163918
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CORDI
FirstName: FRANCESCA
MiddleName: MARIA
NamePrefix: MISS
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ATLANTA VA MEDICAL CENTER
Address2: 1670 CLAIRMONT ROAD
City: DECATUR
State: GA
PostalCode: 30033
CountryCode: US
TelephoneNumber: 4043216111
FaxNumber: 4047285002
Practice Location
Address1: 1670 CLAIRMONT RD
Address2:  
City: DECATUR
State: GA
PostalCode: 300334004
CountryCode: US
TelephoneNumber: 4043216111
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2006
LastUpdateDate: 06/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN100590 NPGAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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