# VIRTIS HEALTH, LLC

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

## Provider details

- **NPI number:** 1679187140
- **Authorized official:** RONALD P LINDAHL (COO)
- **Authorized official phone:** (833) 765-3648

## Contact information

- **Practice address:** 285 FOREST GROVE DR STE 124, PEWAUKEE, WI 53072-3716
- **Practice address phone:** (833) 765-3648
- **Mailing address:** 2801 NETWORK BLVD STE 505, FRISCO, TX 75034-1895
- **Mailing address phone:** (833) 765-3648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/27/2022