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Individual

AMBER RYALS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2200 HARDY ST STE 30, HATTIESBURG, MS 39401-5928
(601) 318-0669
(601) 620-4302
Mailing address
2200 HARDY ST STE 30, HATTIESBURG, MS 39401-5928
(601) 318-0669
(601) 620-4302

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
895981
MS
363LF0000X
Family Nurse Practitioner
Primary
904441
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04788071
MS
Enumeration date
09/06/2020
Last updated
02/23/2024
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