Healthcare Provider Details

I. General information

NPI: 1831054139
Provider Name (Legal Business Name): FEMME VITALE HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 SOUTH EAST STREET
RALEIGH NC
27601
US

IV. Provider business mailing address

964 HIGH HOUSE RD STE 3126
CARY NC
27513-3574
US

V. Phone/Fax

Practice location:
  • Phone: 919-606-4091
  • Fax:
Mailing address:
  • Phone: 919-606-4091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHRYN K WATSON
Title or Position: CO-FOUNDER
Credential: NP
Phone: 919-606-4091