Basic Information
Provider Information
NPI: 1528497336
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCINTYRE-MCKAY
FirstName: FLORENCE
MiddleName: ANGELEE
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3495 PIEDMONT RD NE
Address2: NINE PIEDMONT CENTER
City: ATLANTA
State: GA
PostalCode: 303051717
CountryCode: US
TelephoneNumber: 4045045678
FaxNumber:  
Practice Location
Address1: 3650 STEVE REYNOLDS BLVD
Address2: KAISER PERMANENTE GWINNETT COMPREHENSIVE MEDICAL CENTER
City: DULUTH
State: GA
PostalCode: 300964506
CountryCode: US
TelephoneNumber: 7709316012
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/02/2013
LastUpdateDate: 01/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN 180990GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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