Organization · Type 2 NPI

Advita Health LLC

Nurse Practitioner · Centreville, MD

NPI number 1255280368 Active

Practice location

205 Armstrong St
Centreville, MD 21617-2125

Mailing address

979 Coachway
Annapolis, MD 21401-6413

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (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 wit…

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About NPI 1255280368

Advita Health LLC's National Provider Identifier is 1255280368, issued on Jan 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centreville, MD. The record was last updated on Jan 23, 2026.