Smith, Heather Robertson

Smith, Heather Robertson is an individual health care provider with primary practice located at 204 Serio Blvd. , Ferriday LA 71334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Heather Robertson can be contacted via phone (318) 757-0210.

Contact Information

Primary practice address
204 Serio Blvd. Ferriday LA 71334
Fax: (318) 757-9916
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902020 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP09354 Louisiana

Profile Details

NPI number 1538681176
LBN Legal business name Smith, Heather Robertson
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Oct 5th, 2021 - about 3 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 1538681176 NPPES
Louisiana MEDICAID 606760

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