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General NPI Number Information
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NPI Number | 1609854728
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Entity Type | Individual
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Provider Name | CATHERINE O'FALLON VINZANI MSN, FNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 2815 CATES AVE BOX 7304
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City | RALEIGH
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State | NC
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Zip | 27695-7304
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Country | US
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Telephone | 919-513-2536
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Fax | 188-897-2415
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Provider Business Mailing Address
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Address Line | 5904 BAIRD DR
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City | RALEIGH
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State | NC
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Zip | 27606-9444
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Country | US
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Telephone | 919-834-5205
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201634
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License Number State | NC
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