Provider Demographics
NPI:1033563002
Name:GIOVANNUCCI, VITTORIA
Entity Type:Individual
Prefix:
First Name:VITTORIA
Middle Name:
Last Name:GIOVANNUCCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10503 W THUNDERBIRD BLVD STE 101A
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-2719
Mailing Address - Country:US
Mailing Address - Phone:623-933-3088
Mailing Address - Fax:623-933-0172
Practice Address - Street 1:10503 W THUNDERBIRD BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:623-933-3088
Practice Address - Fax:623-933-0172
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2154I156FX1800X
AZ1854237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist