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VITALITY NP GROUP
NPI 1912574500
Nurse Practitioner in Baltimore, MD

Active since June 10, 2021
6617 PEBBLE BROOKE RD, BALTIMORE, MD 21209(732) 486-7373 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2022, Jun 10, 2021 (2 updates tracked since 2021).

About Vitality Np Group NPPES

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

VITALITY NP GROUP (NPI 1912574500) is a healthcare organization registered as a nurse practitioner in Baltimore, Maryland and active in the NPI registry since June 2021. The organization lists Ettie Tress, Admin, as its authorized official.

NPPES Registry Identity

NPI1912574500
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameVITALITY NP GROUP
Location Address6617 PEBBLE BROOKE RDBaltimore, MD 21209-3793
Mailing Address685 River Ave Unit 3Lakewood, NJ 08701-5288 · (732) 486-7373
Phone(732) 486-7373
Organization SubpartNo
Authorized OfficialEttie TressAdmin · (732) 486-7373
Enumeration DateJune 10, 2021
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1912574500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6617 PEBBLE BROOKE RD, Baltimore, MD 21209
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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

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 Vitality Np Group's NPI number?

The NPI number for Vitality Np Group is 1912574500. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Vitality Np Group located?

Vitality Np Group is located at 6617 Pebble Brooke Rd, Baltimore, MD 21209. The listed phone number is (732) 486-7373.

What is Vitality Np Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Vitality Np Group was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.