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Contact Information

THERESA BAMIDELE, FNP-C
1290 ATHENS ST
GAINESVILLE, GA30507-7000
 Phone: 678-717-4909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for THERESA BAMIDELE · (Female)

NPI # 1215475512
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 02/07/2017
Last updated 07/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # RN218567
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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