Individual
MR. MICHAEL L. VITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MS, FNP
Contact information
Practice address
4212 N 16TH ST, EMERGENCY DEPARTMENT, PHOENIX, AZ 85016-5319
(602) 263-1508
Mailing address
10454 N NICKLAUS DR, FOUNTAIN HILLS, AZ 85268-5733
(480) 290-9929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN072653
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102205
—
AZ
Enumeration date
08/31/2006
Last updated
07/09/2007
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