Individual
MISS MICHELLE SUSAN VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
154 UNION AVE, PATERSON, NJ 07502-1849
(973) 942-3618
(973) 942-7224
Mailing address
154 UNION AVE, PATERSON, NJ 07502-1849
(973) 942-3618
(973) 942-7224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00365700
NJ
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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