Mariam Mustapha, CRNA
NPI #1376221739 in Loganville, Georgia
Provider Information
- NPI Number
- 1376221739
- Entity Type
- Individual
- Name
- Mariam Mustapha, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Aug 6, 2025
Practice Location
- Address
- 624 HENSON FARM DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-6528
- Phone
- (678) 709-9828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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