Provider Demographics
NPI:1114194883
Name:VAEL, AIMEE CORLEY (FNPC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:CORLEY
Last Name:VAEL
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 14TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2131
Mailing Address - Country:US
Mailing Address - Phone:706-507-5437
Mailing Address - Fax:706-507-5499
Practice Address - Street 1:705 17TH ST STE 107
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3504
Practice Address - Country:US
Practice Address - Phone:706-571-1665
Practice Address - Fax:706-660-2699
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN138569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily