Healthcare Provider Details

I. General information

NPI: 1316867559
Provider Name (Legal Business Name): ANNA CLAIRE SMURDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 NEEL KEARBY BLVD
ALEXANDRIA LA
71303-5690
US

IV. Provider business mailing address

718 SADDLE CREEK DR UNIT B
PINEVILLE LA
71360-4842
US

V. Phone/Fax

Practice location:
  • Phone: 318-206-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: