Individual
MS. DANIELLE STEPHANIE VITTATOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5016
(865) 977-5565
Mailing address
1624 OLD NILES FERRY RD, MARYVILLE, TN 37803-5632
(865) 310-8877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000205318
TN
363L00000X
Nurse Practitioner
Primary
26409
TN
Other
Enumeration date
08/04/2019
Last updated
12/11/2019
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