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Individual

BROOKE LEIGH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
12555 BROWN RD, DENHAM SPRINGS, LA 70726-6931
(225) 665-4079
(225) 665-5248
Mailing address
12555 BROWN RD, DENHAM SPRINGS, LA 70726-6931
(225) 665-4079
(225) 665-4114

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN121965
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14276
SCHOOL NURSE
Enumeration date
09/01/2020
Last updated
09/01/2020
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