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Vitiello Primary Care Pllc
Family Nurse Practitioner in Maricopa, Arizona
NPI 1780325944

Vitiello Primary Care Pllc is a Family Nurse Practitioner based in Maricopa, AZ and is specialized in Family. Vitiello Primary Care Pllc practices in Maricopa, AZ. The NPI Number for Vitiello Primary Care Pllc is 1780325944 and holds a License No. (Arizona).

The current practice location address for Vitiello Primary Care Pllc is 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ and can be reached out via phone at 480-389-9419.

Location: 21300 N John Wayne Pkwy Ste 108, Maricopa, AZ, 85139-8895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780325944
Provider Name
Vitiello Primary Care Pllc
Credential
Provider Entity Type
Organization
Address
21300 N John Wayne Pkwy Ste 108, Maricopa, AZ, 85139-8895
Phone Number
480-389-9419
Fax Number
Provider Enumeration Date
04/03/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
808402 05 AZ
institution
Provider Business Practice Location Address Details
Address
21300 N John Wayne Pkwy Ste 108
City
Maricopa
State
Arizona
Zip
85139-8964
Phone Number
480-389-9419
Fax Number
person
Provider Business Mailing Address Details
Address
21300 N John Wayne Pkwy Ste 108
City
Maricopa
State
Arizona
Zip
85139-8964
Phone Number
480-389-9419
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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