Organization
VITA FIDELIS LLC
Active
Other names
PAMELA L KASS
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LUCILLE KASS PMHNP-BC (OWNER)
(760) 458-5111
Entity
Organization
Contact information
Practice address
879 PARK AVE W, MANSFIELD, OH 44906-2944
(760) 458-5111
(419) 709-9044
Mailing address
879 PARK AVE W, MANSFIELD, OH 44906-2944
(760) 458-5111
(419) 709-9044
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
12/05/2025
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