Individual
MARY THERESE VITTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 BRAXTON PL, MADISON, WI 53715-1415
(608) 260-2700
Mailing address
1320 BOWEN CT APT 309, MADISON, WI 53715-1362
(612) 221-1801
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10844002
MN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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