VIRGINIA INTEGRATIVE HEALTH LLC NPI 1568809713

NPI Information

NPI: 1568809713
Provider Name: VIRGINIA INTEGRATIVE HEALTH, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
410 PINE ST SE
SUITE 320
VIENNA, VA
ZIP 22180
Phone: (703) 938-1421
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VIRGINIA INTEGRATIVE HEALTH, LLC is a general practice in Vienna, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee VIRGINIA INTEGRATIVE HEALTH, LLC NPI is 1568809713. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

410 PINE ST SE
SUITE 320
VIENNA, VA
ZIP 22180-861
Phone: (703) 938-1421
Fax: (703) 938-1424

The provider's authorized official is Yvoune Kara Petrie .
The authorized official title is President and has the following contact phone number (703) 938-1421.

The enumeration date for this NPI number is 5/29/2013 and was last updated on 1/18/2024.

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	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	0101231928	VIRGINIA	No
2	208D00000X	General Practice		0101250991	VIRGINIA	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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