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Patricia Vassallo, CPNP
Pediatric Nurse Practitioner in Detroit, Michigan
NPI 1194122937

Patricia Vassallo is a Pediatric Nurse Practitioner based in Shelby Twp, MI and is specialized in Pediatrics. Patricia Vassallo practices in Detroit, MI and has the professional credentials of CPNP. The NPI Number for Patricia Vassallo is 1194122937 and holds a License No. 4704268599 (Michigan).

The current practice location address for Patricia Vassallo is 22151 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-3978 and via fax at 313-417-2730. You can also correspond with Patricia Vassallo through the mailing address at 48353 COMMONVIEW DR, SHELBY TWP, MI - 48317-2772 (mailing address contact number: 248-961-4371).

Location: 22151 Moross Rd, Detroit, MI, 48317-2772
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Provider Profile Details
NPI Number
1194122937
Provider Name
Patricia Vassallo
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
22151 Moross Rd, Detroit, MI, 48317-2772
Phone Number
313-343-3978
Fax Number
313-417-2730
Provider Enumeration Date
11/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0H208910 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
22151 Moross Rd
City
State
Zip
48236-2167
Phone Number
313-343-3978
Fax Number
313-417-2730
person
Provider Business Mailing Address Details
Address
22151 Moross Rd
City
State
Zip
48236-2167
Phone Number
313-343-3978
Fax Number
313-417-2730
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704268599 (Michigan)
Definition
Definition to come...
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