Vaden, Thea Angela

Vaden, Thea Angela is an individual health care provider with primary practice located at 1199 Prince Avenue Athens Regional Midwifery Clinic, Athens GA 30606-2793. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Vaden, Thea Angela can be contacted via phone (706) 475-5700.

Contact Information

Primary practice address
1199 Prince Avenue Athens Regional Midwifery Clinic Athens GA 30606-2793
Fax: (706) 475-5718
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X RN044251 Georgia

Profile Details

NPI number 1114068889
LBN Legal business name Vaden, Thea Angela
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 13th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114068889 NPPES
Georgia Other RN044251 GA NURSING LICENSE

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