Individual
EVONA L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1857 WOODDALE BLVD, BATON ROUGE, LA 70806-1510
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN107579 AP05944
APRN
LA
Enumeration date
11/11/2009
Last updated
09/13/2024
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