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Vitality Mobile Wound Care LLC

Family Nurse Practitioner in Tyler, TX · enumerated 2025 · authorized official Christopher Ethridge, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811876824

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Registry record

Entity type Organization (Type 2)
Legal business name Vitality Mobile Wound Care LLC
Practice address 6115 New Copeland Rd Ste 640, Tyler, TX, 75703
Phone (903) 420-3443
Enumeration date Sep 2, 2025
Last updated in NPPES Jun 8, 2026

Taxonomy & classification

163WW0000X Wound Care Registered Nurse Nursing Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Christopher Ethridge
Title Ceo
Phone (903) 420-3446

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Vitality Mobile Wound Care LLC located?
The practice location on file with NPPES is in Tyler, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-08.