Healthcare Provider Details

I. General information

NPI: 1760314561
Provider Name (Legal Business Name): VITALE FAMILY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 BOTETOURT CT STE 106
CHESAPEAKE VA
23320-4886
US

IV. Provider business mailing address

520 CLEAR STREAM LN
HAMPTON VA
23666-4255
US

V. Phone/Fax

Practice location:
  • Phone: 857-421-4536
  • Fax:
Mailing address:
  • Phone: 857-421-4536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BARRETO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: FNP-C
Phone: 857-421-4536