Healthcare Provider Details

I. General information

NPI: 1366569675
Provider Name (Legal Business Name): GINA MARIE VUOTTO RN, MSN, CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WEST CARSON STREET
TORRANCE CA
90509
US

IV. Provider business mailing address

4746 DEELANE ST
TORRANCE CA
90503-2020
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-2321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number567762
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1084843
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1084843
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: