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NPI Code Detail

MEDICARE: VITA CARE LLC

MEDICARE: VITA CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1083263651
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITA CARE LLC
Provider Business Mailing Address
First Line : P.O. BOX 639784
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-9784
Country : US
Telephone Number : 614-751-2525
Fax Number :
Provider Business Practice Location Address
First Line : 1425 YORKLAND ROAD
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-1686
Country : US
Telephone Number : 614-751-2525
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DANIELLE BROWNING
Credential : CNP
Telephone Number : 614-751-2525
Provider Enumeration Date : 09/06/2019
Last Update Date : 12/27/2019

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Directions to “VITA CARE LLC ” Practice Location

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