Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vigor Integrative Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1255176129

Vigor Integrative Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10304 Eaton Pl Ste 100
Fairfax, VA 22030-2221
Phone: (888) 217-7061
Fax: (346) 706-6891
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1255176129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerniba Ghoneim — Owner · (888) 217-7061
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address10304 Eaton Pl Ste 100, Fairfax, VA 22030-2221

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