Aging With Vitality- Awv LLC
Organization Active NPI Adult Health Nurse Practitioner · Pawling, NY
NPI 1114726635 · NPPES record last updated Mar 8, 2025
Key facts
- NPI
- 1114726635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- Legal business name
- AGING WITH VITALITY- AWV LLC
- Practice address
- 19 Circle Dr
Pawling, NY 12564-1402 - Phone
- (914) 837-1997
- NPI assigned
- Mar 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Nicole Sashanna Arvidson, AGNP- MSN, BC
- Title
- Nurse Practitioner
- Phone
- (914) 837-1997
Practitioners 1
-
Nicole Sashanna Arvidson, AGNP- BC, MSN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Adult Health Nurse Practitioner |
363LA2200X | Yes | ||
| Gerontology Nurse Practitioner |
363LG0600X | |||
| Primary Care Nurse Practitioner |
363LP2300X |
Addresses
Primary practice location
19 Circle Dr
Pawling, NY 12564-1402
Mailing address
19 Circle Dr
Pawling, NY 12564-1402
Phone (914) 837-1997
Other providers in Pawling, NY
- Marlene Adair
- Amanda Allison
- Apjmarketing, Corp
- Atlantic Chiropractic Injury Care, PLLC
- Linda Lou Bacino
- Jennifer Batelic
All providers in Pawling, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.