Shirley C Page CNP

NPI 1730295619 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1730295619
Gender Female
Enumeration Date 08/22/2006
Last Updated 02/05/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 268-5700
Fax (601) 268-5777
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 579-5463
Fax (601) 579-5240
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R634875
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According to our database, Shirley C Page CNP NPI is 1730295619, taxonomy code is 363LF0000X and license number is R634875, license state is located at Mississippi. Shirley C Page CNP physically located at 415 S 28th Ave, Hattiesburg MS, 39401-7246. NPI Number Shirley C Page CNP has the Individual type.

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1730295619 NPI number is provided on an as is basis without warranty of any kind. 1730295619 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley C Page CNP are for informational purposes only.