Provider Demographics
NPI:1790276459
Name:VITTO, DAWN PAGE (PA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:PAGE
Last Name:VITTO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5670 PIN OAK CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3925
Mailing Address - Country:US
Mailing Address - Phone:757-646-0638
Mailing Address - Fax:
Practice Address - Street 1:736 BATTLEFIELD BLVD N
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4941
Practice Address - Country:US
Practice Address - Phone:757-312-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant