1. Home
  2. Directory
  3. Georgia
  4. Darien
  5. Nurse Practitioner
  6. NPI Profile

ETHAN EDMUND RAILEE FAUDREE APRN,RN
NPI 1417893512
Nurse Practitioner - Family in Darien, GA

Active since April 28, 2026
5873 US HIGHWAY 17, DARIEN, GA 31305(912) 266-6605 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Edmund Railee Faudree Aprn,rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN EDMUND RAILEE FAUDREE APRN,RN (NPI 1417893512) is an individual family provider in Darien, Georgia, licensed in Georgia (APRN-NP333216) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1417893512
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHAN EDMUND RAILEE FAUDREECredential: APRN,RN
Location Address5873 US HIGHWAY 17Darien, GA 31305-4015
Mailing Address5873 Us Highway 17Darien, GA 31305-4015 · (912) 266-6605
Phone(912) 266-6605
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1417893512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP333216
5873 US HIGHWAY 17, Darien, GA 31305
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Faudree's NPI number?

The NPI number for Ethan Faudree is 1417893512. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Ethan Faudree located?

Ethan Faudree practices at 5873 Us Highway 17, Darien, GA 31305. The listed phone number is (912) 266-6605.

What is Ethan Faudree's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ethan Faudree was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.