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NPI Code Detail

MEDICARE: MS. RICHSHELL MARIE SMITH WHNP-BC

MEDICARE: MS. RICHSHELL MARIE SMITH WHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerAP09258LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699206441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RICHSHELL MARIE SMITH WHNP-BC
Provider Business Mailing Address
First Line : 4600 GULF FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77023
Country : US
Telephone Number : 713-522-6240
Fax Number :
Provider Business Practice Location Address
First Line : 1532 ALLEN TOUSSAINT BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70122-2146
Country : US
Telephone Number : 504-842-4155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 06/24/2024

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