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Renewed Vitality, Llc
Primary Care Nurse Practitioner in Youngsville, Louisiana
NPI 1609653450

Renewed Vitality, Llc is a Primary Care Nurse Practitioner based in Youngsville, LA and is specialized in Primary Care. Renewed Vitality, Llc practices in Youngsville, LA. The NPI Number for Renewed Vitality, Llc is 1609653450 and holds a License No. (Louisiana).

The current practice location address for Renewed Vitality, Llc is 103 Robin Dale Dr, Youngsville, LA and can be reached out via phone at 337-250-2215.

Location: 103 Robin Dale Dr, Youngsville, LA, 70592-5543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609653450
Provider Name
Renewed Vitality, Llc
Credential
Provider Entity Type
Organization
Address
103 Robin Dale Dr, Youngsville, LA, 70592-5543
Phone Number
337-250-2215
Fax Number
Provider Enumeration Date
09/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
103 Robin Dale Dr
City
Youngsville
State
Louisiana
Zip
70592-5543
Phone Number
337-250-2215
Fax Number
person
Provider Business Mailing Address Details
Address
103 Robin Dale Dr
City
Youngsville
State
Louisiana
Zip
70592-5543
Phone Number
337-250-2215
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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