Provider Demographics
NPI:1174322143
Name:EKBERG, CECILIA MARTA (RN)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:MARTA
Last Name:EKBERG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:MARTA
Other - Last Name:EKBERG-STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:255 E PACES FERRY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-2233
Mailing Address - Country:US
Mailing Address - Phone:817-975-9603
Mailing Address - Fax:
Practice Address - Street 1:255 E PACES FERRY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-2233
Practice Address - Country:US
Practice Address - Phone:817-975-9603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX787510163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse