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Mandy Vittitow, APRN
Family Nurse Practitioner in Louisville, Kentucky
NPI 1700392404

Mandy Vittitow is a Family Nurse Practitioner based in Louisville, KY and is specialized in Family. Mandy Vittitow practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Mandy Vittitow is 1700392404 and holds a License No. 3011916 (Kentucky).

The current practice location address for Mandy Vittitow is 908 Dupont Rd, Louisville, KY and can be reached out via phone at 502-749-7909 and via fax at 502-749-9397.

Location: 908 Dupont Rd, Louisville, KY, 40202-1428
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Provider Profile Details
NPI Number
1700392404
Provider Name
Mandy Vittitow
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
908 Dupont Rd, Louisville, KY, 40202-1428
Phone Number
502-749-7909
Fax Number
502-749-9397
Provider Enumeration Date
12/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100521430 05 KY
institution
Provider Business Practice Location Address Details
Address
908 Dupont Rd
City
State
Zip
40207-4602
Phone Number
502-749-7909
Fax Number
502-749-9397
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Provider Business Mailing Address Details
Address
908 Dupont Rd
City
State
Zip
40207-4602
Phone Number
502-749-7909
Fax Number
502-749-9397
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3011916 (Kentucky)
Definition
Definition to come...
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