Individual
VIRGINIA MARIE VITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C, EMT-B
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024188620
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
311555
NY
363LA2200X
Adult Health Nurse Practitioner
38125
TN
363LG0600X
Gerontology Nurse Practitioner
311555
NY
363LP2300X
Primary Care Nurse Practitioner
311555
NY
Other
Enumeration date
10/04/2023
Last updated
12/12/2025
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