Provider Demographics
NPI:1720719818
Name:BAALERUD, ABBEY MORGAN (NP)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:MORGAN
Last Name:BAALERUD
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:6105 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5909
Mailing Address - Country:US
Mailing Address - Phone:770-913-0001
Mailing Address - Fax:
Practice Address - Street 1:2665 N DECATUR RD STE 520
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6146
Practice Address - Country:US
Practice Address - Phone:404-299-2223
Practice Address - Fax:404-297-5003
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2023-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN275320363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care