Organization
NU VITALITY HYDRATION AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORRIAN CHISHOLM APRN (FNP-C)
(954) 998-1131
Entity
Organization
Contact information
Practice address
2719 HOLLYWOOD BLVD # L-12, HOLLYWOOD, FL 33020-4821
(954) 852-6954
Mailing address
2719 HOLLYWOOD BLVD # L-12, HOLLYWOOD, FL 33020-4821
(954) 852-6954
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
03/22/2023
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