Healthcare Provider Details

I. General information

NPI: 1750489324
Provider Name (Legal Business Name): DARLENE MARIE VITTORI-MARSELL APRN, BC, PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLENE MARIE VITTORI APRN, BC, PNP

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 PROSPECT ST
MILFORD MA
01757-3003
US

IV. Provider business mailing address

124 GROVE ST SUITE 305
FRANKLIN MA
02038-3156
US

V. Phone/Fax

Practice location:
  • Phone: 508-482-5444
  • Fax: 508-482-5408
Mailing address:
  • Phone: 508-528-5392
  • Fax: 508-541-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number187582
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: