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1740541440
TANISHA BURRELL SMITH
BATON ROUGE, LA
NPI
1740541440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA AP06687)
Enumeration Date
2012-05-30
Last Update Date
2021-04-15
Business Address
TANISHA BURRELL SMITH N.P.
4950 ESSEN LN SUITE 300
BATON ROUGE, LA 70809-3738
Phone number: 225-757-0343
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Mailing Address
TANISHA BURRELL SMITH N.P.
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-765-5727
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