Individual
MRS. RANASSA RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2226 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 561-0003
Mailing address
11 HEATHER MARIE DR, BALL, LA 71405-9413
(318) 308-6054
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
214883
LA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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