Organization · Type 2 NPI
Renewed Vitality, LLC
Primary Care Nurse Practitioner · Youngsville, LA
NPI number
1609653450
Active
Practice location
103 Robin Dale Dr
Youngsville, LA 70592-5543
Other practice locations
- 113 Flagg Pl Bldg B, Lafayette, LA 70508-7025 · (337) 858-4077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Youngsville
About NPI 1609653450
Renewed Vitality, LLC's National Provider Identifier is 1609653450, issued on Sep 13, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Youngsville, LA. The record was last updated on Sep 13, 2023.