VITALITY FUNCTIONAL MEDICINE LLC

Nurse Practitioner - Family

Active Organization
NPI: 1821517954

Practice Address

155 SW CENTURY DR STE 111
Bend, OR 97702

Phone: (458) 206-3331

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 201706673NP (OR)

Frequently Asked Questions

NPI 1821517954 is the National Provider Identifier for VITALITY FUNCTIONAL MEDICINE LLC, a Nurse Practitioner - Family provider located in Bend, OR. This NPI was enumerated on September 9, 2017.

Quick Facts

NPI
1821517954
Type
Organization
Enumerated
Sep 9, 2017
Last Updated
Mar 17, 2018

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