Provider Demographics
NPI:1871282335
Name:KURAISHY, KIRAN (FNP-C)
Entity type:Individual
Prefix:
First Name:KIRAN
Middle Name:
Last Name:KURAISHY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KIRAN
Other - Middle Name:
Other - Last Name:WASIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 N POINT PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4102
Mailing Address - Country:US
Mailing Address - Phone:770-442-1911
Mailing Address - Fax:
Practice Address - Street 1:3790 PLEASANT HILL RD STE 170
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5145
Practice Address - Country:US
Practice Address - Phone:770-360-1020
Practice Address - Fax:770-609-3054
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN286601363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily