VITALITY HEALTH AND WELLNESS PLLC NPI 1164742870

NPI Information

NPI: 1164742870
Provider Name: VITALITY HEALTH AND WELLNESS PLLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 34D2050169

Address:
1429 E FIRE TOWER RD
STE 104
GREENVILLE, NC
ZIP 27858
Phone: (252) 364-2802
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VITALITY HEALTH AND WELLNESS PLLC is an adult health nurse practitioner in Greenville, NC. VITALITY HEALTH AND WELLNESS PLLC NPI is 1164742870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1429 E FIRE TOWER RD
STE 104
GREENVILLE, NC
ZIP 27858-730
Phone: (252) 364-2802
Fax: (252) 207-0709

The provider's authorized official is Shannon I Speece .
The authorized official title is Owner and has the following contact phone number (252) 364-2802.

The CLIA number assigned to this NPI record is 34D2050169 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	5004454	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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