IndividualActive
Patricia Vassallo, NP
NPI 1194122937 · Pediatric Nurse Practitioner · Jber, AK
Provider details
- NPI number
- 1194122937
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- SP027691 (PA)
Mailing address
5955 Zeamer Ave
Jber, AK 99506-3702
Registry dates
- Enumerated
- 2014-11-21
- Last updated
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.