NPI Profile for NIA T DAY in LORMAN, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
363LS0200X | 50 | Nurse Practitioner |
| NPI Number | 1407482953 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 03/17/2020 | |
| Last updated | 03/17/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NIA T DAY
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