Tammy Vardeman Aguilar
Nurse Practitioner - Neonatal
101 W Ponce De Leon Ave Suite #242
Decatur
, Georgia 30030-2542
Tammy Vardeman Aguilar
Nurse Practitioner - Neonatal
101 W Ponce De Leon Ave Suite #242
Decatur
, Georgia 30030-2542
(404) 778-7645
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Tammy Vardeman Aguilar
- 101 W Ponce De Leon Ave Suite #242
- Decatur, GA
- Zip : 30030-2542
- Fax : (404) 778-7645
- Phone : (404) 778-7622
Second Address
- Tammy Vardeman Aguilar
- 101 W Ponce De Leon Ave Suite #242
- Decatur, GA
- Zip : 30030-2542
- Fax : (404) 778-7645
- Phone : (404) 778-7622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | RN117954 | GA |
National Provider Identifier
| NPI | 1013251859 |
|---|---|
| Provider Name | Tammy Vardeman Aguilar |
| First Address | Decatur, GA 30030-2542 |
| Second Address | Decatur, GA 30030-2542 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2012 |
| Last Update Date | 17/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.