Cathy Lynn Vitez, R.N.

Individual provider Active NPI Registered Nurse · MC Henry, MD

NPI 1710285994 · NPPES record last updated Mar 11, 2011

Key facts

NPI
1710285994
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R092170 (MD)
Practice address
1057 Pysell Rd
MC Henry, MD 21541-1237
Phone
(443) 478-0230
NPI assigned
Mar 11, 2011
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
R092170MDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R092170 MD Yes

Addresses

Primary practice location

1057 Pysell Rd
MC Henry, MD 21541-1237

Mailing address

1057 Pysell Rd
MC Henry, MD 21541-1237
Phone (301) 387-6501

Other providers in MC Henry, MD

All providers in MC Henry, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.