Healthcare Provider Details

I. General information

NPI: 1124951231
Provider Name (Legal Business Name): VITAL ADVANCED WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 PIEDMONT DR
NEW ORLEANS LA
70122-4746
US

IV. Provider business mailing address

3515 PIEDMONT DR
NEW ORLEANS LA
70122-4746
US

V. Phone/Fax

Practice location:
  • Phone: 504-777-1020
  • Fax:
Mailing address:
  • Phone: 504-777-1020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARON CELESTINE
Title or Position: OWNER/MANAGER
Credential: MSN, APRN, FNP-BC
Phone: 504-777-1020