Individual provider · Type 1 NPI
Patricia Vassallo, NP
Pediatric Nurse Practitioner · Jber, AK
NPI number
1194122937
Active
Practice location
5955 Zeamer Ave
Jber, AK 99506-3702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP027691 (PA) |
| Pediatric Nurse Practitioner | 363LP0200X | 4704268599 (MI) |
| Pediatric Nurse Practitioner | 363LP0200X | 71016443A (IN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1194122937
Patricia Vassallo, NP's National Provider Identifier is 1194122937, issued on Nov 21, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jber, AK. The record was last updated on May 29, 2026.