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Contact Information

RICHELLE SMITH WILSON, CNS
1608 PLAZA DR
MARRERO, LA70072-3344
 Phone: 504-352-7297
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Health & Wellness Coach

171400000X
 

Health Educator

174H00000X
 

Massage Therapist

225700000X
 

Meals

174200000X
Indicates primary specialty

NPI Profile & details for RICHELLE SMITH WILSON · (Female)

NPI Number 1962176610
Status Active
Credentials CNS
Entity Individual
Enumeration date 08/05/2021
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 1722277
  • LA License # 1722278
  • LA License # 1722279
  • LA License # 172277
  • LA Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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