OrganizationActive
Aging With Vitality- Awv LLC
NPI 1114726635 · Adult Health Nurse Practitioner · Pawling, NY
Provider details
- NPI number
- 1114726635
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Arvidson, Nurse Practitioner(914) 837-1997
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19 Circle Dr
Pawling, NY 12564-1402
Phone: (914) 837-1997
Approximate (ZIP-level) locationGet directions
Mailing address
19 Circle Dr
Pawling, NY 12564-1402
Registry dates
- Enumerated
- 2025-03-08
- Last updated
- 2025-03-08
- Certified
- 2025-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.