Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VITALY VAVRINYUK, RN
Active Sole ProprietorVITALY VAVRINYUK, RN is a Pediatric Nurse healthcare provider located in ITHACA, New York. NPI 1942807003 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · ITHACA, NY
Registration Details
- NPI Number
- 1942807003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2020 (5.8772574427627 yrs)
- Last Updated
- Oct 2, 2020
- License
-
746036 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 WEST AVEITHACA, NY, 148536002Browse NY providers · Browse ZIP 14853
- Phone
- 6072544636
- Primary Specialty
-
Pediatric Nurse
163WP0200X
Other Pediatric Nurse Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| DOROTHEA ANNA SIMONE | RN | 1649476771 |
| MICHAELA SCOTT | RN | 1093428724 |
| ANTHONY BROWN | RN | 1669296794 |
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.