Individual
MS. AMANDA VITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 DEANN DR APT 7, INDEPENDENCE, OR 97351-2533
(941) 730-2953
Mailing address
206 DEANN DR APT 7, INDEPENDENCE, OR 97351-2533
(941) 730-2953
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
10021612
OR
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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