Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | SP012271 | PA |
Y | 363L00000X | Nurse Practitioner | SP012271 | PA |
NPI | 1003165598 |
---|---|
Provider Name | Erin S Vita |
First Address | Pittsburgh, PA 15224-1778 |
Second Address | Pittsburgh, PA 15224-1778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2012 |
Last Update Date | 09/10/2020 |