MARY ANGELA CHILDRE NPI 1114370137

NPI Information

  • NPI: 1114370137
  • Provider Name: MARY ANGELA CHILDRE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 134 W CAMPUS DR
    MILLEDGEVILLE, GA
    ZIP 31061
  • Phone: (478) 445-5288

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NPI Details

Mary Angela Childre is a family nurse practitioner in Milledgeville, GA. Mary Angela Childre NPI is 1114370137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

134 W CAMPUS DR
MILLEDGEVILLE, GA
ZIP 31061-639
Phone: (478) 445-5288

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN125490GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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