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

Mirabel Wenja

Individual provider Adult Health Nurse Practitioner · NPI 1407715741

Mirabel Wenja is a Nurse Practitioner in Dacula, Georgia. Qualified in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2026

Practice location Address checks out

3134 Grove View Ct
Dacula, GA 30019-6895
Phone: (602) 688-3778
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN-NP332774 (GA)

Record details

NPI number1407715741
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address3134 Grove View Ct, Dacula, GA 30019-6895

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Dacula