PAULETTE VITAL-HERNE NPI 1871193292

NPI Information

  • NPI: 1871193292
  • Provider Name: PAULETTE VITAL-HERNE
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5381 PRIMROSE LAKE CIR
    TAMPA, FL
    ZIP 33647
  • Phone: (813) 615-2492

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NPI Details

Paulette Vital-herne is a gerontology nurse practitioner in Tampa, FL. Paulette Vital-herne NPI is 1871193292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5381 PRIMROSE LAKE CIR
TAMPA, FL
ZIP 33647-521
Phone: (813) 615-2492

The NPI 1871193292 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 10/26/2020 and was last updated on 1/5/2021.

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
1363LA2200XNurse PractitionerAdult Health11009426FLORIDANo
2363LG0600XNurse PractitionerGerontology11009426FLORIDAYes

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: 11/21/2025

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