Individual provider · Type 1 NPI
Vanessa Lynn Petoello, ANP
Adult Health Nurse Practitioner · Patchogue, NY
NPI number
1992251631
Active
Practice location
107 N/ Ocean Ave, Suite G
Patchogue, NY 11772
Fax (631) 654-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307851-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1992251631
Vanessa Lynn Petoello, ANP's National Provider Identifier is 1992251631, issued on Sep 1, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Patchogue, NY. The record was last updated on Sep 1, 2016.