Individual
MRS. KATRINA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 ROUTE 35, MIDDLETOWN, NJ 07748-1829
(732) 887-3212
Mailing address
443 MIDDLEWOOD RD, MIDDLETOWN, NJ 07748-1333
(732) 887-3212
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
07/01/2026
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