Healthcare Provider Details

I. General information

NPI: 1750184099
Provider Name (Legal Business Name): MARGARET ROSE VITALE MHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGIE ROSE VITALE MHS

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10510 JEFFERSON AVE STE D
NEWPORT NEWS VA
23601-3102
US

IV. Provider business mailing address

401 BRIDGE ST APT 212
DANVILLE VA
24541-1235
US

V. Phone/Fax

Practice location:
  • Phone: 757-594-4737
  • Fax:
Mailing address:
  • Phone: 908-892-4561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: