Individual
SHIRLEY M VITTITOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-2992
(502) 429-8585
(502) 429-6157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006555
KY
363L00000X
Nurse Practitioner
7100268660
IN
363L00000X
Nurse Practitioner
71004927A
IN
363LF0000X
Family Nurse Practitioner
3006555
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003723
—
IN
05
—
7100268660
—
KY
Enumeration date
12/22/2010
Last updated
05/19/2021
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