Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIAMBI VANTRESS
Active Sole ProprietorNIAMBI VANTRESS is a Nurse Practitioner healthcare provider located in FOREST PARK, Georgia. NPI 1548616667 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FOREST PARK, GA
Registration Details
- NPI Number
- 1548616667
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2016 (10.30195626368 yrs)
- Last Updated
- May 7, 2016
- Licenses
-
CSW002933 (GA)RN184231 (GA)RN184231 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5418 LEE CIRFOREST PARK, GA, 302972731Browse GA providers · Browse ZIP 30297
- Phone
- 4042165223
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Clinical Nurse Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.