Individual provider · Type 1 NPI
Paulette Vital-Herne
Gerontology Nurse Practitioner · Ruskin, FL
NPI number
1871193292
Active
Practice location
8427 Hunters Fork Loop
Ruskin, FL 33573-0159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11009426 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11009426 (FL) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
Other gerontology nurse practitioner providers in Ruskin
About NPI 1871193292
Paulette Vital-Herne's National Provider Identifier is 1871193292, issued on Oct 26, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Ruskin, FL. The record was last updated on Dec 5, 2025.