Healthcare Provider Details

I. General information

NPI: 1205784139
Provider Name (Legal Business Name): PICC & VASCULAR ACCESS PROFESSIONALS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 BUNGALOW DR
NEW BERN NC
28562-8454
US

IV. Provider business mailing address

209 BUNGALOW DR
NEW BERN NC
28562-8454
US

V. Phone/Fax

Practice location:
  • Phone: 252-649-8796
  • Fax:
Mailing address:
  • Phone: 252-649-8796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ANTHONY RUFFULE II
Title or Position: MANAGING MEMBER
Credential: BSN, RN, VA-BC,CCRN
Phone: 252-649-8796