Individual provider · Type 1 NPI
Theodora Lane Vaile, N.P.
Family Nurse Practitioner · Atlanta, GA
NPI number
1205163797
Active
Practice location
325 Candler Rd SE
Atlanta, GA 30317-3433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RNO77746 (GA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1205163797
Theodora Lane Vaile, N.P.'s National Provider Identifier is 1205163797, issued on Nov 4, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 4, 2009.