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Organization
VITALITY HEALTH AND WELLNESS PLLC
Active
Organization
VITALITY HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON I SPEECE RN, MSN, ANP (OWNER)
(252) 364-2802
Entity
Organization
Contact information
Practice address
1429 E FIRE TOWER RD, STE 104, GREENVILLE, NC 27858-5730
(252) 364-2802
(252) 207-0709
Mailing address
1429 E FIRETOWER RD, STE 104, GREENVILLE, NC 27858-5731
(252) 364-2802
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5004454
NC
Other
Enumeration date
06/03/2010
Last updated
09/02/2016
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