Individual provider · Type 1 NPI

Candice Lynne Vitale, NP

Nurse Practitioner · Clinton Township, MI

NPI number 1386083046 Active

Practice location

43475 Dalcoma Drive, Ste 150
Clinton Township, MI 48038

Fax (248) 869-3982

Mailing address

29275 Northwestern Hwy, Ste 100
Southfield, MI 48034

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704277903 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386083046

Candice Lynne Vitale, NP's National Provider Identifier is 1386083046, issued on Jun 17, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton Township, MI. The record was last updated on May 3, 2018.