Organization
VITAL WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY ANNE WHITED APRN (CO-OWNER)
(870) 636-9218
Entity
Organization
Contact information
Practice address
4001 COMMERCIAL CENTER DR STE 1, MARION, AR 72364-9616
(870) 636-9218
Mailing address
4001 COMMERCIAL CENTER DR STE 1, MARION, AR 72364-9616
(870) 636-9218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
12/16/2020
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