Vitale, Joyce A

Vitale, Joyce A is an individual health care provider with primary practice located at 714 Breezy Hill Rd Nvrh Kingdom Internal Medicine, St Johnsbury VT 05819-8882. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vitale, Joyce A can be contacted via phone (802) 748-7500.

Contact Information

Primary practice address
714 Breezy Hill Rd Nvrh Kingdom Internal Medicine St Johnsbury VT 05819-8882
Phone: (802) 748-7500
Fax: (802) 745-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 177220 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101-0118554 Vermont

Profile Details

NPI number 1154397206
LBN Legal business name Vitale, Joyce A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 29th, 2016 - about 9 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 1154397206 NPPES
New Hampshire MEDICAID 3104465

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