Individual
BONNIE GAYLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 CORPORATE BLVD, SUITE #201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Mailing address
906 EAST WEBER ST, GONZALES, LA 70737
(225) 644-4926
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03605
LA
363LF0000X
Family Nurse Practitioner
RN074262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158895
—
LA
Enumeration date
02/14/2006
Last updated
02/15/2013
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