Provider Demographics
NPI:1104486695
Name:V I NATURAL MEDICINE
Entity type:Organization
Organization Name:V I NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATH, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MALLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:340-227-1299
Mailing Address - Street 1:5302 YACHT HAVEN GRANDE STE S102
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-5004
Mailing Address - Country:US
Mailing Address - Phone:303-881-5569
Mailing Address - Fax:786-605-0156
Practice Address - Street 1:5302 YACHT HAVEN GRANDE STE 102
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-5004
Practice Address - Country:US
Practice Address - Phone:340-227-1299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty