OrganizationActive
Anu Glo Med Spa, LLC.
NPI 1508470212 · Adult Health Nurse Practitioner · Snellville, GA
Provider details
- NPI number
- 1508470212
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ivy Cleveland, Owner(404) 664-2505
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2429 Main St E Ste 6
Snellville, GA 30078-3336
Phone: (404) 664-2505
Approximate (ZIP-level) locationGet directions
Mailing address
1573 Stonegate Way
Snellville, GA 30078-6701
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.