Individual
JULIE D VITTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7300 E INDIANA ST, SUITE 103, EVANSVILLE, IN 47715-2794
(812) 401-8008
(812) 401-8201
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002089A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000933908
ANTHEM BCBS
IN
Enumeration date
02/03/2009
Last updated
02/03/2016
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