Individual
SARAH MORALES VITENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9775 FLORIDA BLVD, SUITE F, WALKER, LA 70785-7801
(225) 243-7716
(225) 243-7754
Mailing address
9775 HIGHWAY 190, SUITE F, WALKER, LA 70785
(225) 243-7716
(225) 243-7754
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN134320
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08222
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2395122
—
LA
Enumeration date
05/16/2015
Last updated
08/20/2016
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