# VIRGIN PULSE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538794771
- **Authorized official:** JEFF BRIZZOLARA PHD, MPH (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (972) 677-1633

## Contact information

- **Practice address:** 75 FOUNTAIN ST, PROVIDENCE, RI 02902-0050
- **Practice address phone:** (972) 677-1633
- **Mailing address:** 75 FOUNTAIN ST, PROVIDENCE, RI 02902-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 03/09/2020