Provider Demographics
NPI:1225162878
Name:VASTANO, RITA ANNE (RN, AAPN,C)
Entity Type:Individual
Prefix:MISS
First Name:RITA
Middle Name:ANNE
Last Name:VASTANO
Suffix:
Gender:F
Credentials:RN, AAPN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 S BREWSTER RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-7874
Mailing Address - Country:US
Mailing Address - Phone:856-696-0300
Mailing Address - Fax:856-696-2561
Practice Address - Street 1:484 S BREWSTER RD
Practice Address - Street 2:SUITE A1
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-7874
Practice Address - Country:US
Practice Address - Phone:856-696-0300
Practice Address - Fax:856-696-2561
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN02865400363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner