Individual
MRS. RENATE EATON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
208 N 1ST ST, BOONEVILLE, MS 38829-2718
(662) 728-3313
(662) 728-5623
Mailing address
208 N 1ST ST, BOONEVILLE, MS 38829-2718
(662) 728-3313
(662) 728-5623
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R545732
MS
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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