Provider Demographics
NPI:1750184099
Name:VITALE, MARGARET ROSE (MHS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ROSE
Last Name:VITALE
Suffix:
Gender:
Credentials:MHS
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:ROSE
Other - Last Name:VITALE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHS
Mailing Address - Street 1:401 BRIDGE ST APT 212
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1235
Mailing Address - Country:US
Mailing Address - Phone:908-892-4561
Mailing Address - Fax:
Practice Address - Street 1:306 LIBERTY VIEW LN
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2291
Practice Address - Country:US
Practice Address - Phone:434-592-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program