Organization
PERSONAL NP SERVICES, LLC
Active
Other names
Vitality NP Services
Organization subpart
No
Provider details
NPI number
Authorized official
ETTIE TRESS (ADMINISTRATOR)
(732) 987-3855
Entity
Organization
Contact information
Practice address
456 CHESTNUT ST STE 102, LAKEWOOD, NJ 08701-6124
(732) 282-7200
(732) 282-7300
Mailing address
685 RIVER AVE, SUITE 3, LAKEWOOD, NJ 08701-5288
(732) 987-3855
(732) 282-7200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/15/2015
Last updated
02/10/2025
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