Individual
BREANNA MARIE VITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
3 MAXIE LN, SPARTA, NJ 07871-3153
(973) 362-5993
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1671513
CO
163WC0200X
Critical Care Medicine Registered Nurse
26NR24110900
NJ
163WC0200X
Critical Care Medicine Registered Nurse
844719
NY
163WC0200X
Critical Care Medicine Registered Nurse
RN1045171
DC
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15362400
NJ
Other
Enumeration date
07/22/2024
Last updated
07/25/2025
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