IndividualActive
Aden Desta
NPI 1265136808 · Family Nurse Practitioner · Austell, GA
Provider details
- NPI number
- 1265136808
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 283567 (GA)
Mailing address
3950 Austell Rd
Austell, GA 30106-1121
Registry dates
- Enumerated
- 2023-03-28
- Last updated
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.