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NPI Code Detail

MEDICARE: ADVITA HEALTH LLC

MEDICARE: ADVITA HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1043169147
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVITA HEALTH LLC
Provider Business Mailing Address
First Line : 979 COACHWAY
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-6413
Country : US
Telephone Number : 443-618-3459
Fax Number :
Provider Business Practice Location Address
First Line : 35 MILKSHAKE LN
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-1507
Country : US
Telephone Number : 410-269-5100
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : KAREN PIPKIN
Credential :
Telephone Number : 443-618-3459
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ADVITA HEALTH LLC ” Practice Location

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