Healthcare Provider Details

I. General information

NPI: 1285642892
Provider Name (Legal Business Name): VERA VITT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E. CENTENNIAL DR. STE. 13
PITTSBURG KS
66762
US

IV. Provider business mailing address

1 MT CARMEL WAY
PITTSBURG KS
66762-7587
US

V. Phone/Fax

Practice location:
  • Phone: 620-231-1068
  • Fax: 620-231-2792
Mailing address:
  • Phone: 620-231-7600
  • Fax: 620-231-7602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number74750
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number74750
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: