Gladys Mutura
Nurse Practitioner (Family)

Address: 56 Wesleyan Way, Dallas, GA 30132-9259
Phone: 4049142279

Gladys Mutura (NPI# 1528685039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1528685039
Entity Type Individual
Full Name Gladys Mutura
Gender Female
Practice Address 56 Wesleyan Way
Dallas
GA 30132-9259
Practice Telephone 4049142279
Mailing Address 56 Wesleyan Way
Dallas
GA 30132-9259
Mailing Telephone 4049142279
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-06-30
Last Update Date 2020-06-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers F01201178 GA

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 56 WESLEYAN WAY
City DALLAS
State GA
Zip Code 30132-9259

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205398526 Away Lice Removal Specialists, LLC Homeopath 531 Hardee Street, Dallas, GA 30132 2019-04-04
1215405030 Bio-medical Applications of Georgia, Inc. Clinic/Center 112 Village Walk, Dallas, GA 30132 2018-11-09
1306313184 Jessica Ramskogler Counselor 168 N. Johnson St, Suite 304, Dallas, GA 30132 2018-10-30
1912489337 Michelle Jennifer Bergman Lactation Consultant, Non-RN 549 Waburn Walk, Dallas, GA 30132 2018-09-01
1457870099 Dynamic Xray Solutions LLC Clinic/Center 77 Wellsey Way, Dallas, GA 30132 2017-09-14
1528438413 Georgia Dental Professionals, PC Dentist 8709 Dallas Acworth Hwy, Dallas, GA 30132 2015-10-05
1013256130 Paulding Auto Sales Private Vehicle 210 E Memorial Dr, Dallas, GA 30132 2013-02-08
1255613410 Matthew Lerandal Talley Chiropractor 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 2011-09-14
1003109422 Ashlyn Drugs Pharmacy 1160 Old Harris Rd, Dallas, GA 30132 2011-05-18
1285942086 Premier Hearing and Health Services Inc Clinic/Center 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 2010-09-15
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Competitor

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City DALLAS
Zip Code 30132

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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.