Individual
SHENETTE SHARI VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2820 NAPOLEON AVE, NEW ORLEANS, LA 70115
(504) 897-4250
Mailing address
2425 L ST NW, UNIT 223, WASHINGTON, DC 20037-2412
(615) 828-8967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN1033679
DC
363LP2300X
Primary Care Nurse Practitioner
Primary
AP08238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06187578
—
MS
05
—
2426745
—
LA
Enumeration date
07/01/2014
Last updated
10/31/2016
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