Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP02914 | LA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP02914 | LA |
NPI | 1366637464 |
---|---|
Provider Name | Angela Cassandra Warner-Smith |
First Address | New Orleans, LA 70118-5798 |
Second Address | New Orleans, LA 70118-5798 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 09/11/2020 |