Individual
TATUM ANN VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 530-2279
Mailing address
612 DOW AVE, OAKHURST, NJ 07755-2815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01359700
NJ
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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