Smith, Hazel Taylor

Smith, Hazel Taylor is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Hazel Taylor can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 861 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN038372-AP01083 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X RN038372-AP01083 Louisiana

Profile Details

NPI number 1629081872
LBN Legal business name Smith, Hazel Taylor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 23rd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629081872 NPPES
Louisiana Other 861 LICENSED PROFESSIONAL COU
Louisiana Other RN038372 LICENSED PROFESSIONAL COU
Louisiana Other RN038372-AP01083 LICENSED PROFESSIONAL COU

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