Provider Demographics
NPI:1720336613
Name:ZITO, SARA BONNETTE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:BONNETTE
Last Name:ZITO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6932 MONROE HWY
Mailing Address - Street 2:
Mailing Address - City:BALL
Mailing Address - State:LA
Mailing Address - Zip Code:71405-3232
Mailing Address - Country:US
Mailing Address - Phone:318-419-8937
Mailing Address - Fax:318-442-5766
Practice Address - Street 1:3033 JACKSON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-4744
Practice Address - Country:US
Practice Address - Phone:318-767-2000
Practice Address - Fax:318-442-5766
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-27
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily