Active NPIIndividual providerSole proprietor

Ms. Eileen Vitale, RN

Registered Nurse, Ambulatory Care in Revere, Massachusetts

NPI Number1346809324
Practice location
454 Broadway, Revere, MA 02151-3034
Fax
—
Last updated
June 12, 2019

Eileen Vitale is a Registered Nurse, Ambulatory Care based in Revere, MA. Eileen Vitale practices in Revere, MA and has the professional credentials of RN. The NPI Number for Eileen Vitale is 1346809324 and holds a License No. 186856 (MA). The current practice location address for Eileen Vitale is 454 Broadway, Revere, MA 02151-3034 and can be reached out via phone at 781-485-8222.

Provider Profile Details

NPI Number
1346809324
Provider Name
Eileen Vitale
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
454 Broadway, Revere, MA 02151-3034
Phone Number
781-485-8222
Primary Taxonomy
Registered Nurse, Ambulatory Care · 163WP2201X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2019
Last Update Date
June 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
454 Broadway
Revere, MA 02151-3034
City
Revere
Zip
02151-3034
Phone Number
781-485-8222
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
6 Celestial Way
Salem, MA 01970-6816
City
Salem
State
MA
Zip
01970-6816
Phone Number
978-210-5525

License Information

License Number
186856
License State
MA
Taxonomy
Registered Nurse, Ambulatory Care · 163WP2201X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Eileen Vitale, RN?

The NPI number of Ms. Eileen Vitale, RN is 1346809324. It was assigned on June 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Eileen Vitale, RN?

Ms. Eileen Vitale, RN is registered under the primary taxonomy Registered Nurse, Ambulatory Care (code 163WP2201X), licensed in MA under license number 186856.

Where does Ms. Eileen Vitale, RN practice?

The practice location is 454 Broadway, Revere, MA 02151-3034. The office can be reached at 781-485-8222 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346809324 directly on the NPPES registry website.

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