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MRS. SHARL ANN TRUSSELL NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1043371537
Individual Registrant:MRS. SHARL ANN TRUSSELL NP
Gender: F
Not Sole Proprietor
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
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
Tel: 229-268-8865 Fax: 229-268-8864
Registration Information:
NPI: 1043371537
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN084787 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000848119D | GA | 05 | |
| 000848119B | GA | 05 |
