Individual provider · Type 1 NPI
Kim Ann Vitacco, NP
Adult Health Nurse Practitioner · Wading River, NY
NPI number
1912908484
Active · reactivated Jun 14, 2022
Practice location
Kim A Vitacco Anp-C, 2 Shelter Harbor Court
Wading River, NY 11792-2202
Fax (631) 886-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F303866 (NY) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Wading River
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- Danielle Bellucci, NP-CAdult Health Nurse Practitioner Wading River, NY NPI 1144655432
- Puja Kakar Godhwani, AGNPAdult Health Nurse Practitioner Wading River, NY NPI 1265906085
- Jane GandiosiAdult Health Nurse Practitioner Wading River, NY NPI 1447112511
- Marret Anderson, NP-CAdult Health Nurse Practitioner Wading River, NY NPI 1659785335
About NPI 1912908484
Kim Ann Vitacco, NP's National Provider Identifier is 1912908484, issued on Aug 9, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Wading River, NY. The record was last updated on Jul 18, 2022.