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MRS. MARY ANNE HENDRIX CFNP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780791673

Individual Registrant:
MRS. MARY ANNE HENDRIX CFNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
310 W SWEET POTATO ST  VARDAMAN, MS 38878-8405 US
Tel: 662-682-7555  Fax: 662-682-7388

Contact information for business:
PO BOX 237  VARDAMAN, MS 38878-0237 US
Tel: 662-682-7555  Fax: 662-682-7388

Registration Information:
NPI: 1780791673
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MSR665754

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00120774MS05




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