Vardaman, Amy Christine

Vardaman, Amy Christine is an sole proprietor health care provider with primary practice located at 3788 Idlewild Pl , Suwanee GA 30024-4619. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vardaman, Amy Christine can be contacted via phone (404) 273-5225.

Contact Information

Primary practice address
3788 Idlewild Pl Suwanee GA 30024-4619
Phone: (404) 273-5225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN150639 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN150639 Georgia

Profile Details

NPI number 1801946876
LBN Legal business name Vardaman, Amy Christine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Nov 30th, 2016 - about 9 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 1801946876 NPPES
Georgia Other 52058526 BCBS ID #

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