Organization
VIVO INFUSION VIRGINIA LLC
Active
Parent organization
VIVO INFUSION VIRGINIA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIVO INFUSION VIRGINIA LLC
Authorized official
RENEE WORSHAM (MANAGER, CREDENTIALING & ENROLLMENT)
(303) 384-4064
Entity
Organization
Contact information
Practice address
5450 WYNDHAM FOREST DR STE 6-02, GLEN ALLEN, VA 23059-5942
(855) 478-1528
Mailing address
1726 COLE BLVD STE 250, LAKEWOOD, CO 80401-3262
(855) 478-1528
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/26/2024
Last updated
10/22/2025
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