Vitality Np Group

NPI #1912574500 in Baltimore, Maryland

Provider Information

NPI Number: 1912574500
Entity Type: Organization
Organization Name: Vitality Np Group
Primary Specialty: Nurse Practitioner
Enumeration Date: Jun 10, 2021
Last Updated: Feb 17, 2022

Practice Location

Address: 6617 PEBBLE BROOKE RD
City: Baltimore
State: Maryland
ZIP Code: 21209-3793
Phone: (732) 486-7373

Authorized Official

Name: ETTIE TRESS
Title: ADMIN
Phone: (732) 486-7373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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