Provider Demographics
NPI:1972300937
Name:ALDRIDGE, DAMARA P (ACNP-C)
Entity type:Individual
Prefix:
First Name:DAMARA
Middle Name:P
Last Name:ALDRIDGE
Suffix:
Gender:
Credentials:ACNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 BARFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4308
Mailing Address - Country:US
Mailing Address - Phone:404-845-8200
Mailing Address - Fax:
Practice Address - Street 1:6135 BARFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4308
Practice Address - Country:US
Practice Address - Phone:404-845-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN237684363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner