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Vitality Medical Services, Pllc
Family Nurse Practitioner in Statesville, North Carolina
NPI 1508237496

Vitality Medical Services, Pllc is a Family Nurse Practitioner based in Statesville, NC and is specialized in Family. Vitality Medical Services, Pllc practices in Statesville, NC. The NPI Number for Vitality Medical Services, Pllc is 1508237496 and holds a License No. 39460 (North Carolina).

The current practice location address for Vitality Medical Services, Pllc is 2632 Fines Creek Dr, Statesville, NC and can be reached out via phone at 704-728-9509.

Location: 2632 Fines Creek Dr, Statesville, NC, 28625-4441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508237496
Provider Name
Vitality Medical Services, Pllc
Credential
Provider Entity Type
Organization
Address
2632 Fines Creek Dr, Statesville, NC, 28625-4441
Phone Number
704-728-9509
Fax Number
Provider Enumeration Date
10/17/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196006 01 NC MEDICAL BOARD CERTIFICATE
8966248 05 NC
institution
Provider Business Practice Location Address Details
Address
2632 Fines Creek Dr
City
Statesville
State
North Carolina
Zip
28625-4441
Phone Number
704-728-9509
Fax Number
person
Provider Business Mailing Address Details
Address
2632 Fines Creek Dr
City
Statesville
State
North Carolina
Zip
28625-4441
Phone Number
704-728-9509
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
39460 (North Carolina)
Definition
Definition to come...
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