PAULETTE VITAL-HERNE


Address: 4449 Old Highway 41 S, Sun City, FL 33586-9700
Phone: 8136795413

PAULETTE VITAL-HERNE (NPI# 1871193292) 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) 1871193292
Entity Type Individual
Full Name PAULETTE VITAL-HERNE
Practice Address 4449 Old Highway 41 S
Sun City
FL 33586-9700
Practice Telephone 8136795413
Enumeration Date 2020-10-26
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
11009426 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
11009426 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4449 OLD HIGHWAY 41 S
City SUN CITY
State FL
Zip Code 33586-9700

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1497303028 Stephanie Dianne De Santiago Nurse Practitioner 10515 W Santa Fe Dr, Sun City, AZ 85351-3020 2019-08-27

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Competitor

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City SUN CITY
Zip Code 33586

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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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