Vital, Charisse L

Vital, Charisse L is an individual health care provider with primary practice located at 3715 Prytania St Ste. 400, New Orleans LA 70115-3761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vital, Charisse L can be contacted via phone (504) 897-8255.

Contact Information

Primary practice address
3715 Prytania St Ste. 400 New Orleans LA 70115-3761
Phone: (504) 897-8255
Fax: (504) 897-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP03273 Louisiana

Profile Details

NPI number 1033139373
LBN Legal business name Vital, Charisse L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jan 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033139373 NPPES
Louisiana MEDICAID 1552861

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