Patricia Vassallo

CPNP | Nurse Practitioner - Pediatrics

22151 Moross Rd, Pb 2 Suite 209, Detroit
  Michigan, 48236-2167
313-343-3978
May or may not accept Medicare Nurse Anesthetist in Detroit, Michigan.
Patricia Vassallo is a Detroit, Michigan based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Patricia Vassallo is SP027691 for Pediatrics in Pennsylvania. Her current practice location is 22151 Moross Rd, Pb 2 Suite 209, Detroit. Patients can reach her at 313-343-3978 or can fax her at 313-417-2730. Patricia Vassallo is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1194122937.
Patricia Vassallo specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Patricia Vassallo speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Patricia Vassallo
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: CPNP
Practice Address:22151 Moross Rd, Pb 2 Suite 209, Detroit,
Michigan, 48236-2167
Phone:313-343-3978
Fax:313-417-2730
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1194122937
NPI Enumeration Date: 21 Nov, 2014
NPI Last Update On: 22 Jun, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patricia Vassallo are as mentioned below.
License NumberSpecializationStateStatus
SP027691Pediatrics PennsylvaniaPrimary
4704268599Pediatrics MichiganSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Patricia Vassallo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0H208910OtherMichiganBLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Patricia Vassallo
48353 Commonview Dr,
Shelby Twp, Michigan
Zip: 48317-2772
Phone Number: 248-961-4371
Patients can reach Patricia Vassallo at 22151 Moross Rd, Pb 2 Suite 209, Detroit, Michigan or can call to book an appointment on 313-343-3978.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.