Organization
VITALITY NP GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTIE TRESS (OWNER)
(732) 486-7373
Entity
Organization
Contact information
Practice address
511 CHANTECLER AVE STE 1, RICHMOND, VA 23226-3000
(732) 486-7373
(732) 282-7200
Mailing address
685 RIVER AVE UNIT 3, LAKEWOOD, NJ 08701-5288
(732) 486-7373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
04/07/2022
Last updated
06/22/2023
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