Cravatta, Vanessa Marie

Cravatta, Vanessa Marie is an individual health care provider with primary practice located at 2660 W Fairbanks Ave , Winter Park FL 32789-3385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cravatta, Vanessa Marie can be contacted via phone (407) 898-2767.

Contact Information

Primary practice address
2660 W Fairbanks Ave Winter Park FL 32789-3385
Phone: (407) 898-2767
Fax: (407) 898-9443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9278152 Florida

Profile Details

NPI number 1205184900
LBN Legal business name Cravatta, Vanessa Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205184900 NPPES
Florida MEDICAID 006479900

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