Organization
AGING WITH VITALITY- AWV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SASHANNA ARVIDSON AGNP- MSN, BC (NURSE PRACTITIONER)
(914) 837-1997
Entity
Organization
Contact information
Practice address
19 CIRCLE DR, PAWLING, NY 12564-1402
(914) 837-1997
Mailing address
19 CIRCLE DR, PAWLING, NY 12564-1402
(914) 837-1997
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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