# VITALITY HEALTH CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104483098
- **Authorized official:** SONIA SLABA APRN PMHNP FNP CRNA (MANAGING PARTNER)
- **Authorized official phone:** (877) 393-2492

## Contact information

- **Practice address:** 10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
- **Practice address phone:** (877) 393-2492
- **Practice address fax:** (316) 680-9915
- **Mailing address:** 10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
- **Mailing address phone:** (877) 393-2492
- **Mailing address fax:** (316) 854-5194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/25/2019
- **Last updated:** 01/01/2024