Provider Demographics
NPI:1215109723
Name:VITTI, LINDA SUSAN (RN, CDOE)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUSAN
Last Name:VITTI
Suffix:
Gender:F
Credentials:RN, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 SURREY WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-4100
Mailing Address - Country:US
Mailing Address - Phone:508-541-7430
Mailing Address - Fax:
Practice Address - Street 1:2 SURREY WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-4100
Practice Address - Country:US
Practice Address - Phone:508-541-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN45085163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator