Organization
YOUNG FAMILY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN LOUISE SMITH NURSE PRACTITIONER (NURSE PRACTITIONER)
(504) 236-9192
Entity
Organization
Contact information
Practice address
1581 CAROL SUE AVE, GRETNA, LA 70056-5100
(504) 236-9192
Mailing address
PO BOX 417, HARVEY, LA 70059-0417
(504) 236-9192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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