Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eliza Mattson Antonowich, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1639877954

Eliza Mattson Antonowich, CPNP-PC is a Pediatric Nurse Practitioner in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

595 Hurricane Shoals Rd NW Ste 300
Lawrenceville, GA 30046-8762
Phone: (770) 995-0823
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN318173 (GA)

Record details

NPI number1639877954
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateDecember 2, 2022

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