Individual
ELIZABETH JAYNES VITULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15 SMITH RD STE 3004, MIDLAND, TX 79705-5461
(432) 699-6000
Mailing address
15 SMITH RD STE 3004, MIDLAND, TX 79705-5461
(281) 734-1759
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1169481
TX
Other
Enumeration date
07/23/2024
Last updated
12/15/2024
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