Smith, Quanna Fetter
Smith, Quanna Fetter is an sole proprietor health care provider with primary practice located at 5131 Odonovan Dr Ste 201 , Baton Rouge LA 70808-4791. 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, Quanna Fetter can be contacted via phone (225) 374-0220.Contact Information
Primary practice address
5131 Odonovan Dr Ste 201
Baton Rouge LA 70808-4791
Phone: (225) 374-0220
Fax: (225) 374-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04427 | Louisiana |
Profile Details
| NPI number | 1043216385 |
|---|---|
| LBN Legal business name | Smith, Quanna Fetter |
| Credentials | APRN, FNP, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Apr 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043216385 | NPPES |
| Louisiana | MEDICAID | 1461547 |
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