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Organization
VITALITY CARE LLC
Active
Organization
VITALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WINGARD FNP-BC, PMHNP-BC (OWNER)
(832) 913-1118
Entity
Organization
Contact information
Practice address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 913-1118
(832) 575-5494
Mailing address
6302 BROADWAY ST STE 130, PEARLAND, TX 77581-7859
(832) 913-1118
(832) 575-5494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/09/2020
Last updated
05/29/2024
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