Individual
BRENDA RENAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
(318) 338-3540
(318) 338-3542
Mailing address
402 MCMILLAN RD, WEST MONROE, LA 71291-5326
(318) 338-3540
(318) 338-3542
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06154
LA
Other
Enumeration date
07/29/2010
Last updated
03/28/2012
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