Healthcare Provider Details

I. General information

NPI: 1881501831
Provider Name (Legal Business Name): UNDENIABLEBEAUTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5546 SANDPIPER LN
NORFOLK VA
23502-4406
US

IV. Provider business mailing address

5546 SANDPIPER LN
NORFOLK VA
23502-4406
US

V. Phone/Fax

Practice location:
  • Phone: 817-354-1525
  • Fax: 817-354-1588
Mailing address:
  • Phone: 817-354-1525
  • Fax: 817-354-1588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. CHELISA TURNER
Title or Position: OWNER
Credential: MD
Phone: 817-354-1525