Individual
JOYCE A VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
714 BREEZY HILL RD, NVRH KINGDOM INTERNAL MEDICINE, ST JOHNSBURY, VT 05819-8882
(802) 748-7500
(802) 745-1188
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-7500
(802) 745-1188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0118554
VT
363L00000X
Nurse Practitioner
177220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3104465
—
NH
Enumeration date
02/28/2006
Last updated
07/29/2016
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