Individual
ANITA VEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 643-2200
Mailing address
2365 RUE WELLER, MANDEVILLE, LA 70448-2395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07442
LA
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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