Provider Demographics
NPI:1356850747
Name:INTEGRATIVE HEALTHCARE LLC
Entity Type:Organization
Organization Name:INTEGRATIVE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:HILL
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:757-582-2935
Mailing Address - Street 1:412 MUIRFIELD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-8500
Mailing Address - Country:US
Mailing Address - Phone:757-582-2935
Mailing Address - Fax:757-357-4930
Practice Address - Street 1:412 MUIRFIELD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:VA
Practice Address - Zip Code:23430-8500
Practice Address - Country:US
Practice Address - Phone:757-357-4930
Practice Address - Fax:757-357-4930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA024126263363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty