Individual provider · Type 1 NPI
Vita Merylle Balista
Family Nurse Practitioner · Valhalla, NY
NPI number
1952079485
Active
Practice location
100 Woods Rd
Valhalla, NY 10595-1530
Fax (914) 493-8130
Other practice locations
- 325 NY-100, Somers, NY 10589 · (914) 669-8289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F347217-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1952079485
Vita Merylle Balista's National Provider Identifier is 1952079485, issued on Aug 31, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Valhalla, NY. The record was last updated on May 19, 2023.