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Individual

TANISHA SMOTHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
300 CLAY ST, KENNER, LA 70062-7606
(504) 452-9338
Mailing address
300 CLAY ST, KENNER, LA 70062-7606
(504) 800-8022
(504) 800-8122

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
231610
LA

Other

Enumeration date
12/29/2017
Last updated
06/27/2024
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