Individual
ANITA J FALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1002 E MADISON ST STE 2, HOUSTON, MS 38851-2428
(662) 456-4277
(662) 456-9589
Mailing address
1002 E MADISON ST STE 2, HOUSTON, MS 38851-2428
(662) 456-4277
(662) 456-9589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R857133
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119223
—
MS
Enumeration date
05/24/2006
Last updated
02/19/2008
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