| Lilian Ayidi Vende, | |
|
4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021-1839 | |
| (678) 705-9685 | |
| Not Available |
| Full Name | Lilian Ayidi Vende |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4600 E Ponce De Leon Ave Ste A, Clarkston, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225886609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN274205 (Georgia) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
| Entity Name | Clarkston Primary & Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043781420 PECOS PAC ID: 9537401450 Enrollment ID: O20241102000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilian Ayidi Vende, 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021-1839 Ph: (678) 705-9685 | Lilian Ayidi Vende, 4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021-1839 Ph: (678) 705-9685 |
Emily Howell Curia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 470-406-0635 | |
Dr. Kimberley Anne Crawford, PHD, MPH, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Market St Ste E-1, Clarkston, GA 30021 Phone: 678-898-5731 | |
William Bodnar, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 College Ave, Clarkston, GA 30021 Phone: 678-383-1383 | |
Asmita Raut, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3660 Market St, Clarkston, GA 30021 Phone: 470-355-7896 | |
Anjana Khadka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3660 Market St, Clarkston, GA 30021 Phone: 470-355-7896 | |
Rebekah Schicker, RN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3700 Market St, Clarkston, GA 30021 Phone: 678-383-1383 |