Provider Demographics
NPI:1427811082
Name:VIRTUS HEALTH LLC
Entity type:Organization
Organization Name:VIRTUS HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:DULL
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-563-9247
Mailing Address - Street 1:18117 MAUGANS AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-9541
Mailing Address - Country:US
Mailing Address - Phone:240-563-9247
Mailing Address - Fax:240-335-7724
Practice Address - Street 1:18117 MAUGANS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:717-860-9421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty