Individual
EMILY JILL VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, BC-CV, PCCN
Contact information
Practice address
9702 SHORE DR, MACHESNEY PARK, IL 61115-2055
(608) 320-9669
Mailing address
9702 SHORE DR, MACHESNEY PARK, IL 61115-2055
(608) 320-9669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
161713
WI
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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