Organization
VIBRANCE HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANELL T DORRIS NP-C (OWNER)
(267) 694-0554
Entity
Organization
Contact information
Practice address
5448 CAPE HENRY AVE, NORFOLK, VA 23513-2411
(267) 694-0554
Mailing address
5448 CAPE HENRY AVE, NORFOLK, VA 23513-2411
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740791078
—
VA
Enumeration date
04/25/2024
Last updated
04/25/2024
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