Organization
ENHANCED WELLNESS OF OAK GROVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY LAURA RYBA MSN FNP-BC (PROVIDER/OWNER)
(601) 264-7286
Entity
Organization
Contact information
Practice address
56 98 PLACE BLVD, HATTIESBURG, MS 39402-8603
(601) 264-7286
(601) 450-4640
Mailing address
56 98 PLACE BLVD, HATTIESBURG, MS 39402-8603
(601) 264-7286
(601) 450-4640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
11/15/2021
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