Individual
MRS. ERIN GARDNER VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8394
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN356439
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.16273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107049
—
OH
Enumeration date
04/22/2014
Last updated
11/16/2020
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