Lauren Vitro, RN
Individual provider Active NPI Registered Nurse · Shrub Oak, NY
NPI 1629130463 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629130463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 457070-1 (NY)
- Practice address
- Phoenix House
31-51 Stony St.
Shrub Oak, NY 10588 - Phone
- (914) 962-2491
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457070-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 457070-1 | NY | Yes |
Addresses
Primary practice location
Phoenix House
31-51 Stony St.
Shrub Oak, NY 10588
Mailing address
PO Box 417
Mahopac Falls, NY 10542-0417
Other providers in Shrub Oak, NY
All providers in Shrub Oak, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.