Doctor Name: | CYNTHIA DIANNE ARNOLD-SPRUILL |
NPI Number: | 1013103415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R623113 |
Business Practice Address: | 424 S 13th Ave Laurel, MS - 394404345 |
Business Phone Number: | 6016495990 |
Business Fax Number: | 6014257510 |
Mailing Address: | Po Box 247, LAUREL |
State: | MS |
Postal Code: | 394410247 |
Phone Number: | 6013996167 |
Fax Number: | 6013996281 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 08/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R623113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |