Provider Demographics
NPI:1912878349
Name:VITALITY HORMONE AND HEALTH LLC
Entity type:Organization
Organization Name:VITALITY HORMONE AND HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGRANDPRE
Authorized Official - Suffix:
Authorized Official - Credentials:CNNP
Authorized Official - Phone:256-803-0230
Mailing Address - Street 1:151 E 85TH ST APT 8H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-8103
Mailing Address - Country:US
Mailing Address - Phone:256-679-6848
Mailing Address - Fax:866-485-6580
Practice Address - Street 1:7027 OLD MADISON PIKE NW STE 108A
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2369
Practice Address - Country:US
Practice Address - Phone:256-803-0230
Practice Address - Fax:866-485-6580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty