VON DENEB VITTO

LIVONIA, MI
NPI1346805769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: MI  4704327050NSA190BM)
Additional Taxonomies363LA2100X Nurse Practitioner Acute Care
(Licence: MI  4704327050NSA190BM)
363L00000X Nurse Practitioner
(Licence: MI  4704327050NSA190BM)
363LA2200X Nurse Practitioner Adult Health
(Licence: MI  4704327050NSA190BM)
363LC0200X Nurse Practitioner Critical Care Medicine
(Licence: MI  4704327050NSA190BM)
363LG0600X Nurse Practitioner Gerontology
(Licence: MI  4704327050NSA190BM)
363LX0106X Nurse Practitioner Occupational Health
(Licence: MI  4704327050NSA190BM)
Enumeration Date2019-05-01
Last Update Date2020-01-06
Business Address
MR. VON DENEB VITTO MSN, APRN, AGNP-C
36123 SCHOOLCRAFT RD
LIVONIA, MI 48150-1216
Phone number: 734-464-0887
Mailing Address
MR. VON DENEB VITTO MSN, APRN, AGNP-C
36123 SCHOOLCRAFT RD
LIVONIA, MI 48150-1216
Phone number: 734-464-0887