Individual
MRS. GINA MARIE VITALE-AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(234) 801-4747
Mailing address
204 S BELLEVUE AVE, DOVER, OH 44622-9405
(234) 801-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA-NP14020
OH
363L00000X
Nurse Practitioner
RN115701
CO
363L00000X
Nurse Practitioner
Primary
RN278267
OH
Other
Enumeration date
11/15/2012
Last updated
10/20/2015
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