NIAMBI VANTRESS

FOREST PARK, GA
NPI1548616667
Professional NameNIAMBI VANTRESS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN184231)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: GA  CSW002933)
364S00000X Clinical Nurse Specialist
(Licence: GA  RN184231)
Enumeration Date2016-05-07
Last Update Date2016-05-07
Business Address
-- NIAMBI VANTRESS
5418 LEE CIR
FOREST PARK, GA 30297-2731
Phone number: 404-216-5223
Mailing Address
-- NIAMBI VANTRESS
5418 LEE CIR
FOREST PARK, GA 30297-2731
Phone number: 404-216-5223