Individual
MRS. JEAN MARIE VITIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
20 HOSPITAL DR STE 3, TOMS RIVER, NJ 08755-6434
(732) 608-3911
Mailing address
PO BOX 41, PINE BEACH, NJ 08741-0041
(732) 608-3911
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01404200
NJ
Other
Enumeration date
10/18/2022
Last updated
12/05/2022
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