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Contact Information

SUSAN B SMITH, APRN, FNP-C, PNP-C
180 NORTH 5TH STREET
BENSON DERMATOLOGY AND SKIN CANCER, LLC
PONCHATOULA, LA70454
 Phone: 985-370-7546
 Fax: 985-370-7765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUSAN B SMITH · (Female)

NPI # 1154441251
Status Active
Credentials APRN, FNP-C, PNP-C
Entity Individual
Enumeration date 03/30/2007
Last updated 08/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 05147
  • LA Medicaid 1009407
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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