Individual
MRS. SHELLEY SMITH BLANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC, RN
Contact information
Practice address
118 WOODRUFF DR, SLIDELL, LA 70461-4164
(985) 707-7693
Mailing address
118 WOODRUFF DR, SLIDELL, LA 70461-4164
(985) 707-7693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201780
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201780
LA
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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