Provider Demographics
NPI:1316075765
Name:ROBINSON-WAITS, KATHY DIANNE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:DIANNE
Last Name:ROBINSON-WAITS
Suffix:
Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:4328 SUMMIT OAKS LN NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5277
Mailing Address - Country:US
Mailing Address - Phone:404-384-5637
Mailing Address - Fax:770-640-6427
Practice Address - Street 1:3720 DAVINCI CT STE 400
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-7625
Practice Address - Country:US
Practice Address - Phone:770-300-3502
Practice Address - Fax:770-640-6427
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2024-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN078438363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology