# VITALITY NP GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003453051
- **Authorized official:** ETTIE TRESS (ADMINISTRATOR)
- **Authorized official phone:** (732) 987-3855

## Contact information

- **Practice address:** 45 LOGGERS MILL RD, HORSHAM, PA 19044-1924
- **Practice address phone:** (732) 282-7200
- **Mailing address:** 685 RIVER AVE UNIT 3, LAKEWOOD, NJ 08701-5288
- **Mailing address phone:** (732) 486-7373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/09/2019
- **Last updated:** 02/10/2025