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MRS. SHARL ANN TRUSSELL NP

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

Registrant NPI Number: 1043371537

Individual Registrant:
MRS. SHARL ANN TRUSSELL NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1212 E UNION ST  VIENNA, GA 31092-7545 US
Tel: 229-268-8865  Fax: 229-268-8864

Contact information for business:
1212 E UNION ST  VIENNA, GA 31092-7545 US
Tel: 229-268-8865  Fax: 229-268-8864

Registration Information:
NPI: 1043371537
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN084787

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000848119DGA05
000848119BGA05




HEALTH CARE JOBS GA - Page 1



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