DR. ROBERT VARDAMAN AGACNP NPI 1467876193

NPI Information

NPI: 1467876193
Provider Name: DR. ROBERT VARDAMAN, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1315 JESSE JEWELL PKWY NE STE 300
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-6520
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DR. Robert Vardaman, AGACNP is an acute care nurse practitioner in Gainesville, GA with 11 years of experience. DR. Robert Vardaman, AGACNP NPI is 1467876193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1315 JESSE JEWELL PKWY NE STE 300
GAINESVILLE, GA
ZIP 30501-875
Phone: (770) 219-6520

The NPI 1467876193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2014 and was last updated on 12/20/2023.

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
1	363LA2100X	Nurse Practitioner	Acute Care	69138	NEW MEXICO	No
2	363LA2100X	Nurse Practitioner	Acute Care	11020905	FLORIDA	No
3	363LA2100X	Nurse Practitioner	Acute Care	RN214917	GEORGIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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