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VYBRANT HEALTH AND WELLNESS
NPI 1720934938
Nurse Practitioner - Family in Eldersburg, MD

Active since March 09, 2026CLIA 21D2324531 · Waiver
6210 GEORGETOWN BLVD STE D, ELDERSBURG, MD 21784(410) 702-4998(410) 680-3444 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vybrant Health And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VYBRANT HEALTH AND WELLNESS (NPI 1720934938) is a healthcare organization registered as a family in Eldersburg, Maryland and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Alfred T Tetteh, Owner, as its authorized official.

NPPES Registry Identity

NPI1720934938
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVYBRANT HEALTH AND WELLNESS
Location Address6210 GEORGETOWN BLVD STE DEldersburg, MD 21784-6418
Mailing Address6210 Georgetown Blvd Ste DEldersburg, MD 21784-6418 · (410) 702-4998 · Fax (410) 680-3444
Phone(410) 702-4998
Fax(410) 680-3444
Organization SubpartNo
Authorized OfficialAlfred T TettehOwner · (410) 702-4998
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1720934938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
6210 GEORGETOWN BLVD STE D, Eldersburg, MD 21784
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2324531

Vybrant Health And Wellness · Eldersburg, MD
Active · expires May 26, 2027
CLIA Number21D2324531
Laboratory TypePractitioner Other
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorAlfred Tetteh
Laboratory Phone(410) 702-4998
Laboratory LocationVybrant Health And Wellness6210 Georgetown Blvd Ste D, Eldersburg, MD 21784
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vybrant Health And Wellness's NPI number?

The NPI number for Vybrant Health And Wellness is 1720934938. It was assigned to this organization in the NPPES registry on March 9, 2026.

Where is Vybrant Health And Wellness located?

Vybrant Health And Wellness is located at 6210 Georgetown Blvd Ste D, Eldersburg, MD 21784. The listed phone number is (410) 702-4998.

What is Vybrant Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Vybrant Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2324531) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vybrant Health And Wellness was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.