Healthcare Provider Details

I. General information

NPI: 1801736921
Provider Name (Legal Business Name): ARNITA SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SPURGEON DR
MONROE LA
71203-4521
US

IV. Provider business mailing address

807 MARX ST
MONROE LA
71202-4860
US

V. Phone/Fax

Practice location:
  • Phone: 318-582-5236
  • Fax:
Mailing address:
  • Phone: 318-582-5236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number3671263
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: