| Doctor Name: | NANCY MARIE CERTAIN |
| NPI Number: | 1013166552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN083705 |
| Business Practice Address: | 1640 Powers Ferry Rd Bldg 7, Suite 300 Marietta, GA - 300675491 |
| Business Phone Number: | 7709889200 |
| Business Fax Number: | 7709889296 |
| Mailing Address: | 1640 Powers Ferry Rd, Bldg 7, Suite 300 MARIETTA |
| State: | GA |
| Postal Code: | 300675491 |
| Phone Number: | 7709889200 |
| Fax Number: | 7709889296 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | RN083705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |