Change Center for Vitality
NPI #1720390362 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1720390362
- Entity Type
- Organization
- Organization Name
- Change Center for Vitality
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jul 12, 2010
- Last Updated
- Jul 12, 2010
Practice Location
- Address
- 400 W CAPITOL AVE
- Address 2
- STE 100D
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72201-3436
- Phone
- (501) 324-2649
Authorized Official
- Name
- DEBRA VELEZ
- Title
- PRESIDENT
- Phone
- (501) 324-8649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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