Individual
MRS. JOANN H VITIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
21300 W JOHN WAYNE PARKWAY, SUITE 108, MARICOPA, AZ 85139
(520) 568-5949
(520) 217-3633
Mailing address
21300 W JOHN WAYNE PARKWAY, SUITE 108, MARICOPA, AZ 85139
(520) 568-5943
(520) 217-3633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4936
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121694
—
AZ
05
—
808402
—
AZ
01
—
Z272693
MEDICARE PIN
AZ
Enumeration date
03/25/2013
Last updated
06/03/2022
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