MRS. ERIN GARDNER VITALE


Address: 1 Wyoming St, Dayton, OH 45409-2722
Phone: 9372088394

MRS. ERIN GARDNER VITALE (NPI# 1639599277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639599277
Entity Type Individual
Full Name MRS. ERIN GARDNER VITALE
Other Name MS. ERIN MICHELLE GARDNER
Credential RN, BSN
Practice Address 1 Wyoming St
Dayton
OH 45409-2722
Practice Telephone 9372088394
Mailing Telephone 9372088394
Enumeration Date 2014-04-22
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN356439 OH Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN.CNP.16273 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0107049 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3535 Southern Blvd, Kettering, OH 454291221 9373956665 9373956668

Office Location

Street Address 1 WYOMING ST
City DAYTON
State OH
Zip Code 45409-2722

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235134180 Christopher Scott Croom Obstetrics & Gynecology 1 Wyoming St, Berry Bldg, Ground Fl, Dayton, OH 45409-2722 2005-06-16
1902412133 Dustin Logan Warne Registered Nurse 1 Wyoming St, Dayton, OH 45409-2722 2020-09-22
1356956965 Yeri Noh Pharmacist 1 Wyoming St, Dayton, OH 45409-2722 2020-09-10
1457965642 Amanda Danielle Boykin Nurse Practitioner 1 Wyoming St, Dayton, OH 45409-2722 2020-09-03
1386257046 Daryl Brown Physician Assistant 1 Wyoming St, Dayton, OH 45409-2711 2020-08-24
1518578624 Mary Goeller Physician Assistant 1 Wyoming St, Dayton, OH 45409-2722 2020-08-12
1033720545 Emily Newport Pharmacist 1 Wyoming St, Dayton, OH 45409-2722 2020-08-10
1447869433 David Mark Peters Jr. Pharmacist 1 Wyoming St, Dayton, OH 45409-2722 2020-07-27
1376151787 Zachary Sahadak Pharmacist 1 Wyoming St, Dayton, OH 45409-2722 2020-07-22
1093323339 Mckenzie Shenk Pharmacist 1 Wyoming St, Dayton, OH 45409-2722 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1699237545 Elizabeth Joan Hudson Student in an Organized Health Care Education/Training Program 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 2019-04-01
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1477057529 Adam Joseph Langer Student in an Organized Health Care Education/Training Program 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 2018-03-22
1659870939 Timothy Wall Student in an Organized Health Care Education/Training Program 128 East Apple St., 2nd Floor, Dayton, OH 45409 2018-02-01
1124551411 Adam Schmerge Deardorff Student in an Organized Health Care Education/Training Program 30 E Apple St Ste 6257, Dayton, OH 45409 2017-04-04
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1689054223 Jessica Ezinne Ugwu Family Medicine 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 2015-06-08
1679983084 Jude Anneryan Cohen Registered Nurse 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 2014-05-07
1730517087 Jesse Wayne Clark Counselor 65 Grady Ct, Dayton, OH 45409 2013-10-24
Find all providers in zip 45409

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457435687 Reba E Crowell Nurse Practitioner 4100 West 3rd Street, Dayton, OH 45428 2006-10-24
1669073052 Brittany Ann Flynn Nurse Practitioner 2200 Miami Valley Dr, Dayton, OH 45459-4783 2020-11-03
1164064077 Laura Cristina Schimmoeller Nurse Practitioner 4100 W 3rd St, Dayton, OH 45428-9000 2019-10-11
1689145013 Ebenezer Akoi Asiedu Nurse Practitioner 725 S Ludlow St, Dayton, OH 45402-2610 2018-12-11
1952804437 Sherry M Arnold Nurse Practitioner 1010 Woodman Dr, Dayton, OH 45432-1400 2018-03-12
1740730159 Karen Christian Nurse Practitioner 1520 S Main St Ste 3, Dayton, OH 45409-2643 2016-10-10
1083018030 Stacey Childress Nurse Practitioner 30 E Apple St, Ste 3300, Dayton, OH 45409-2939 2014-10-20
1023359106 Anne Marie House Nurse Practitioner 1 Wyoming St, Dayton, OH 45409-2722 2013-03-14
1366787962 Karla Shearer Nurse Practitioner 40 N Main St, Suite 1360, Dayton, OH 45423-1021 2012-12-07
1427309202 Hannah Marie Moore Nurse Practitioner 2132 E 3rd St, Dayton, OH 45403-1991 2012-09-20
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45409

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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