Individual
MEGAN VITTETOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-0533
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
28169645A
IN
363L00000X
Nurse Practitioner
Primary
71008597A
IN
Other
Enumeration date
09/04/2018
Last updated
12/17/2024
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