MR. VON DENEB VITTO MSN APRN AGNP-C NPI 1346805769

NPI Information

NPI: 1346805769
Provider Name: MR. VON DENEB VITTO, MSN, APRN, AGNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
36123 SCHOOLCRAFT RD
LIVONIA, MI
ZIP 48150
Phone: (734) 464-0887
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MR. Von Deneb Vitto, MSN, APRN, AGNP-C is a primary care nurse practitioner in Livonia, MI. MR. Von Deneb Vitto, MSN, APRN, AGNP-C NPI is 1346805769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36123 SCHOOLCRAFT RD
LIVONIA, MI
ZIP 48150-216
Phone: (734) 464-0887

The NPI 1346805769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/1/2019 and was last updated on 1/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704327050NSA190BM	MICHIGAN	No
2	363LA2100X	Nurse Practitioner	Acute Care	4704327050NSA190BM	MICHIGAN	No
3	363LA2200X	Nurse Practitioner	Adult Health	4704327050NSA190BM	MICHIGAN	No
4	363LC0200X	Nurse Practitioner	Critical Care Medicine	4704327050NSA190BM	MICHIGAN	No
5	363LG0600X	Nurse Practitioner	Gerontology	4704327050NSA190BM	MICHIGAN	No
6	363LP2300X	Nurse Practitioner	Primary Care	4704327050NSA190BM	MICHIGAN	Yes
7	363LX0106X	Nurse Practitioner	Occupational Health	4704327050NSA190BM	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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