Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM ANN VITACCO, NP
DeactivatedKIM ANN VITACCO, NP is a Adult Health Nurse Practitioner healthcare provider located in WADING RIVER, New York. NPI 1912908484 is deactivated in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · WADING RIVER, NY
This NPI has been deactivated.
The record was deactivated on April 28, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1912908484
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (16.717808219178 yrs)
- Last Updated
- Jul 18, 2022
- Deactivated
- Apr 28, 2022
- License
-
F303866 (NY)
Practice Information
- Address
-
KIM A VITACCO ANP-C2 SHELTER HARBOR COURTWADING RIVER, NY, 117922202Browse NY providers · Browse ZIP 11792
- Phone
- 6318861668
- Fax
- 6318861909
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
Other Adult Health Nurse Practitioner Providers in WADING RIVER, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. DANIELLE BELLUCCI | NP-C | 1144655432 |
| MARRET ANDERSON | NP-C | 1659785335 |
| CATHERINE ANN RONDEAU | ARNP | 1023463148 |
| MRS. PUJA KAKAR GODHWANI | AGNP | 1265906085 |
| JANE GANDIOSI | — | 1447112511 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.