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Individual

HAZEL TAYLOR SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
861
LA
363LA2200X
Adult Health Nurse Practitioner
RN038372-AP01083
LA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN038372-AP01083
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
861
LICENSED PROFESSIONAL COU
LA
01
RN038372
RN LICENSE
LA
01
RN038372-AP01083
ADVANCE PRACTICE NURSE
LA
Enumeration date
08/15/2006
Last updated
03/23/2015
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