Vital Health & Integrative Care | |
43 Town And Country Drive Ste 119 #153 Frederickburg VA 22405 | |
(571) 505-1744 | |
Not Available |
Full Name | Vital Health & Integrative Care |
---|---|
Speciality | Clinic/Center |
Location | 43 Town And Country Drive Ste 119, Frederickburg, Virginia |
Authorized Official Name and Position | Aminata Kamara (OWNER) |
Authorized Official Contact | 5715051744 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vital Health & Integrative Care 43 Town And Country Drive Ste 119 #153 Frederickburg VA 22405 Ph: (571) 505-1744 | Vital Health & Integrative Care 43 Town And Country Drive Ste 119 #153 Frederickburg VA 22405 Ph: (571) 505-1744 |
NPI Number | 1851046031 |
---|---|
Provider Enumeration Date | 02/16/2022 |
Last Update Date | 02/16/2022 |
Medicare PECOS PAC ID | 3072986439 |
---|---|
Medicare Enrollment ID | O20230306001046 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851046031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Jeffrey M Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417330390 PECOS PAC ID: 4486960200 Enrollment ID: I20150825003070 |
Provider Name | Aminata Kamara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831724319 PECOS PAC ID: 0941611735 Enrollment ID: I20201130002377 |
Provider Name | Kristen Ritenour |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629765813 PECOS PAC ID: 9032575345 Enrollment ID: I20230608002687 |
Provider Name | Shojuana Watson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1083288237 PECOS PAC ID: 7315388576 Enrollment ID: I20240518000442 |