Vidette Marie Amoroso, LPN

Individual provider Active NPI Licensed Practical Nurse · North Royalton, OH

NPI 1760712822 · NPPES record last updated Nov 30, 2022

Key facts

NPI
1760712822
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN115195 (OH)
Practice address
12977 W 130TH St
North Royalton, OH 44133-4236
Phone
(440) 465-1473
NPI assigned
Jan 12, 2010
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

State licenses

LicenseStateTypeSpecialty
PN115195OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN115195 OH Yes

Addresses

Primary practice location

12977 W 130TH St
North Royalton, OH 44133-4236

Mailing address

12977 W 130TH St
North Royalton, OH 44133-4236
Phone (440) 465-1473

Other providers in North Royalton, OH

All providers in North Royalton, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.