Vidrine, Maureen Frances

Vidrine, Maureen Frances is an individual health care provider with primary practice located at 10385 Hwy 278 , Covington GA 30014. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vidrine, Maureen Frances can be contacted via phone (770) 784-9777.

Contact Information

Primary practice address
10385 Hwy 278 Covington GA 30014
Phone: (770) 784-9777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN076382 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN076382 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X RN076382 Georgia

Profile Details

NPI number 1326116633
LBN Legal business name Vidrine, Maureen Frances
Credentials APRN-PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 6th, 2016 - about 10 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326116633 NPPES
Other 019589102 ANCC CNS

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