Individual
HEATHER VITTETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 9TH ST STE 200, ROCKFORD, IL 61104-2235
(779) 696-8700
Mailing address
6875 N FRIDAY RD, BYRON, IL 61010-8821
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.029877
IL
Other
Enumeration date
06/13/2024
Last updated
12/11/2024
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