Innovative Pelvic Health Llc

NPI 1174755359 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1174755359
Enumeration Date 08/20/2009
Last Updated 01/04/2012
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARIE J MARIE
Position OWNER/CEO
Phone (601) 948-6540
Fax (601) 948-6544
Practice Location
5 MARINA CV
RIDGELAND MS, 39157-9001, US
Phone (601) 948-6540
Fax (601) 948-6544
Business Location
5 MARINA CV
RIDGELAND MS, 39157-9001, US
Phone (601) 948-6540
Fax (601) 948-6544
Toxanomy
Taxonomy Code 363LX0001X
License State Mississippi
License Number R830287
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According to our database, Innovative Pelvic Health Llc NPI is 1174755359, taxonomy code is 363LX0001X and license number is R830287, license state is located at Mississippi. Innovative Pelvic Health Llc physically located at 5 Marina Cv, Ridgeland MS, 39157-9001. NPI Number 1033115704 has the healthcare provider type.

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1174755359 NPI number is provided on an as is basis without warranty of any kind. 1174755359 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Pelvic Health Llc are for informational purposes only.