Organization · Type 2 NPI
Vitaledge LLC
Family Nurse Practitioner · Peachtree City, GA
NPI number
1376399642
Active
Practice location
2581 Highway 54 Ste B3
Peachtree City, GA 30269-3528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Peachtree City
About NPI 1376399642
Vitaledge LLC's National Provider Identifier is 1376399642, issued on Apr 27, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peachtree City, GA. The record was last updated on Jan 31, 2025.