Individual
MS. MAUREEN FRANCES VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-PMH
Contact information
Practice address
10385 HWY 278, COVINGTON, GA 30014
(770) 784-9777
Mailing address
880 BETHEL CHURCH RD, MONROE, GA 30655-8109
(770) 784-9777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN076382
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN076382
GA
364S00000X
Clinical Nurse Specialist
RN076382
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019589102
ANCC CNS
—
Enumeration date
12/04/2006
Last updated
08/06/2016
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