Individual
BRANDON SHANE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2630 DUMAINE ST, NEW ORLEANS, LA 70119-3420
(318) 455-8435
Mailing address
2630 DUMAINE ST, NEW ORLEANS, LA 70119-3420
(318) 455-8435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN121012
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN121012
RN LICENSE
LA
Enumeration date
09/23/2020
Last updated
11/27/2023
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