Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN070123 AP03419 | LA |
NPI | 1215235205 |
---|---|
Provider Name | Kathryn Howard-Smith |
First Address | Marrero, LA 70072-3147 |
Second Address | Marrero, LA 70072-3147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2011 |
Last Update Date | 01/03/2011 |