Individual
CAROL LYNNE VANBUUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
200 S ENOTA DR NE STE 200, GAINESVILLE, GA 30501-3466
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
270893
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN270893
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN270893
GA
Other
Enumeration date
04/18/2019
Last updated
06/19/2024
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