Individual
MS. COLLEEN M VITZTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCNS, RNFA
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
119022
MO
363LP0200X
Pediatric Nurse Practitioner
74527
KS
Other
Enumeration date
07/22/2006
Last updated
09/08/2015
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