MEDICARE: ERIN S VITA CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	SP012271	PA
2	363L00000X	Nurse Practitioner	SP012271	PA

General Provider Information

NPI Number	:	1003165598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN S VITA CRNP

Provider Business Mailing Address
First Line	:	4 ALLEGHENY CTR FL 7
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2419 STATE AVE STE 200
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-2233
Country	:	US
Telephone Number	:	412-625-2636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	01/22/2026

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Directions to “ ERIN S VITA CRNP” Practice Location

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