# VITALE PSYCHIATRIC

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

## Provider details

- **NPI number:** 1992534838
- **Authorized official:** SHANDRA TYUS (PRESIDENT)
- **Authorized official phone:** (757) 436-2444

## Contact information

- **Practice address:** 1403 GREENBRIER PKWY STE 200, CHESAPEAKE, VA 23320-2876
- **Practice address phone:** (757) 436-2444
- **Mailing address:** 1403 GREENBRIER PKWY STE 200, CHESAPEAKE, VA 23320-2876
- **Mailing address phone:** (757) 436-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2024
- **Last updated:** 09/09/2024