Gradin, Vivian Clare
Gradin, Vivian Clare is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se Suite 200, Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gradin, Vivian Clare can be contacted via phone (770) 297-2200.Contact Information
Primary practice address
725 Jesse Jewell Pkwy Se Suite 200
Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN078162 | Georgia |
Profile Details
| NPI number | 1083653422 |
|---|---|
| LBN Legal business name | Gradin, Vivian Clare |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083653422 | NPPES |
| Georgia | Other | 10045264 | AMERIGROUP |
| Georgia | Other | 340847 | AMERIGROUP |
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