Individual
MS. POLLY BUSH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6925 HIGHWAY 74, SAINT GABRIEL, LA 70776-4706
(225) 642-3306
(225) 319-4595
Mailing address
6925 HIGHWAY 74, SAINT GABRIEL, LA 70776-4706
(225) 642-3306
(225) 319-4595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07914
LA
Other
Enumeration date
09/16/2014
Last updated
05/17/2016
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