Organization
VITALITY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA SLABA APRN PMHNP FNP CRNA (MANAGING PARTNER)
(877) 393-2492
Entity
Organization
Contact information
Practice address
10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
(877) 393-2492
(316) 680-9915
Mailing address
10111 E 21ST ST N STE 315, WICHITA, KS 67206-3581
(877) 393-2492
(316) 854-5194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/25/2019
Last updated
01/01/2024
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