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Organization
VITIELLO PRIMARY CARE PLLC
Active
Organization
VITIELLO PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN VITIELLO NP (OWNER)
(520) 568-5943
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 108, MARICOPA, AZ 85139-8964
(480) 389-9419
Mailing address
44559 W SEDONA TRL, MARICOPA, AZ 85139-8895
(480) 389-9419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808402
—
AZ
Enumeration date
04/03/2022
Last updated
07/06/2022
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