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

Kwizera Richard

Individual provider Home Health Registered Nurse · NPI 1790592616

Kwizera Richard is a Home Health Registered Nurse in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4749 Banner Elk Dr
Stone Mountain, GA 30083-4916
Phone: (404) 944-6826
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN313569 (GA)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence RN313569 (GA)

Record details

NPI number1790592616
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address4749 Banner Elk Dr, Stone Mountain, GA 30083-4916

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