RENEWED VITALITY LLC NPI 1609653450

NPI Information

  • NPI: 1609653450
  • Provider Name: RENEWED VITALITY, LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 103 ROBIN DALE DR
    YOUNGSVILLE, LA
    ZIP 70592
  • Phone: (337) 250-2215

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NPI Details

RENEWED VITALITY, LLC is a primary care nurse practitioner in Youngsville, LA. RENEWED VITALITY, LLC NPI is 1609653450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 ROBIN DALE DR
YOUNGSVILLE, LA
ZIP 70592-543
Phone: (337) 250-2215

The provider's authorized official is Emily Barousse Duhon .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (337) 250-2215.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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