Vicki Wetter
Nurse Practitioner
3207 Country Club Rd
Valdosta
, Georgia 31605-1029
Vicki Wetter
Nurse Practitioner
3207 Country Club Rd
Valdosta
, Georgia 31605-1029
(724) 766-9628
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Vicki Wetter
- 7366 Wind Chase Dr
- Hahira, GA
- Zip : 31632-2333
- Phone : (724) 766-9628
Second Address
- Vicki Wetter
- 3207 Country Club Rd
- Valdosta, GA
- Zip : 31605-1029
- Phone : (229) 242-8480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1105457 | FL |
National Provider Identifier
| NPI | 1003445297 |
|---|---|
| Provider Name | Vicki Wetter |
| First Address | Hahira, GA 31632-2333 |
| Second Address | Valdosta, GA 31605-1029 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2020 |
| Last Update Date | 08/11/2021 |
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.