Organization
VITALITY FUNCTIONAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN ARNOLD BISHOP GNP-BC, FNP-C (NURSE PRACTITIONER)
(561) 676-6121
Entity
Organization
Contact information
Practice address
155 SW CENTURY DR STE 111, BEND, OR 97702-1657
(458) 206-3331
(620) 506-4777
Mailing address
19657 ASPEN RIDGE DR, BEND, OR 97702-3366
(561) 676-6121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201706673NP
OR
Other
Enumeration date
09/09/2017
Last updated
03/17/2018
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