Individual
MRS. KATRINA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 HIGHWAY 35, RED BANK, NJ 07701-5920
(732) 842-2000
Mailing address
386 MIDDLEWOOD RD, MIDDLETOWN, NJ 07748-1328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00960600
NJ
363LF0000X
Family Nurse Practitioner
343795
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00960600
ADVANCED PRACTICE NURSE, FAMILY
NJ
Enumeration date
11/26/2018
Last updated
07/18/2024
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