| NPI | 1982207478 |
|---|---|
| Doing Business As | VITALITY PAIN CARE |
| Entity Type | Organization |
| Authorized Contact | TAMIA FISHER Authorized Official 812-962-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-11-02 |