Individual
MRS. AUDREY RACHAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 BUCKNER ST, SUITE C-120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 213-2799
Mailing address
1800 BUCKNER ST, SUITE C-120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 213-2799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN075508-AP05913
LA
Other
Enumeration date
08/17/2009
Last updated
05/13/2013
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