Smith-Wilson, Richelle

Smith-Wilson, Richelle is an sole proprietor health care provider with primary practice located at 1608 Plaza Dr , Marrero LA 70072-3344. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Meals, Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Smith-Wilson, Richelle can be contacted via phone (504) 352-7297.

Contact Information

Primary practice address
1608 Plaza Dr Marrero LA 70072-3344
Phone: (504) 352-7297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1722279 Louisiana
Other Service Providers / Meals 174200000X 1722278 Louisiana
Other Service Providers / Health Educator 174H00000X 172277 Louisiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1722277 Louisiana
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1722278 Louisiana

Profile Details

NPI number 1962176610
LBN Legal business name Smith-Wilson, Richelle
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2021
Last updated Aug 5th, 2021 - about 5 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 1962176610 NPPES
Louisiana MEDICAID PENDING

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