Healthcare Provider Details

I. General information

NPI: 1982518478
Provider Name (Legal Business Name): MRS. TANA M SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 POLK AVE STE A
NEW ORLEANS LA
70124-1930
US

IV. Provider business mailing address

230 POLK AVE STE A
NEW ORLEANS LA
70124-1930
US

V. Phone/Fax

Practice location:
  • Phone: 504-669-3151
  • Fax:
Mailing address:
  • Phone: 504-669-3151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: