Individual
MS. FRANCES RUTH VITALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-4401
(989) 583-4409
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3075412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356446116
—
MI
05
—
306813700
—
FL
01
—
Y090D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/14/2006
Last updated
07/14/2014
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