Umstead, Vida V
Umstead, Vida V is an individual health care provider with primary practice located at 15 Reinhardt College Pkwy Ste 100 , Canton GA 30114-5259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Umstead, Vida V can be contacted via phone (770) 704-6988.Contact Information
Primary practice address
15 Reinhardt College Pkwy Ste 100
Canton GA 30114-5259
Phone: (770) 704-6988
Fax: (770) 720-8775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN115864 | Georgia |
Profile Details
| NPI number | 1366471914 |
|---|---|
| LBN Legal business name | Umstead, Vida V |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | May 7th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366471914 | NPPES |
| Georgia | Other | RN115864 | GA LIC |
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