NPI 1639339682 MRS. MARY ELIZABETH TULLOS NP-C ROBINSONVILLE MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Mary Elizabeth Tullos - NPI: 1639339682

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. MARY ELIZABETH TULLOS
NPI Number: 1639339682
Entity Type Code: Individual (1)
Gender: F
Credentials: NP-C
License Number: R869304
Business Practice Address: 1150 Casino Strip Resort Blvd
Robinsonville, MS - 38664
Business Phone Number: 6623577707
Business Fax Number: 6623577807
Mailing Address: 1150 Casino Strip Resort Blvd, Hollywood Wellness Clinic
ROBINSONVILLE
State: MS
Postal Code: 38664
Phone Number: 6623577707
Fax Number: 6623577807
NPI Enumeration Date: 06/12/2008
NPI Last Update Date: 10/20/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: R869304
Healthcare Provider Taxonomy:
(Secondary)
N
State: MS
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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