# NIAMBI VANTRESS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1548616667
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | CSW002933 | GA | — |
| 363L00000X | Nurse Practitioner | RN184231 | GA | Yes |
| 364S00000X | Clinical Nurse Specialist | RN184231 | GA | — |

## Other

- **Enumeration date:** 05/07/2016
- **Last updated:** 05/07/2016
