Patricia Vassallo
NP | 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 NP 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: | NP |
| 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: | 23 Apr, 2025 |
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 Number | Specialization | State | Status | |
| SP027691 | Pediatrics | Pennsylvania | Primary | |
| 4704268599 | Pediatrics | Michigan | Secondary | |
| 71016443A | Pediatrics | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Patricia Vassallo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0H208910 | Other | Michigan | BLUE 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:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.