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Individual

ROBERT NATHAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
13100 RIVER RD STE 100, DESTREHAN, LA 70047-5216
(985) 235-0010
(985) 764-1310
Mailing address
13100 RIVER RD STE 100, DESTREHAN, LA 70047-5216
(985) 235-0010
(985) 764-1310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SMIT-IY8V6O
MS

Other

Enumeration date
09/03/2020
Last updated
10/28/2024
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