Individual
DEIRDRE LEE BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1302 44TH AVE, GULFPORT, MS 39501-2552
(228) 687-8235
(228) 206-6470
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(995) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904579
MS
Other
Enumeration date
04/21/2021
Last updated
04/11/2023
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