Organization
VITAL NP - INTEGRATIVE MEDICINE & WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA VICTORIA PROCTOR DNP, FNP-C (DR/ OWNER)
(443) 207-0733
Entity
Organization
Contact information
Practice address
11 NEWBURG AVE STE 3, CATONSVILLE, MD 21228-5172
(443) 207-0733
Mailing address
6113 REGENT PARK RD, CATONSVILLE, MD 21228-1805
(443) 207-0733
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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