Individual
MRS. HOLLI ANNE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4381 SOUTH EASON BLVD., SUITE 102B, TUPELO, MS 38801-6586
(662) 377-6610
(662) 377-6614
Mailing address
PO BOX 4018, TUPELO, MS 38801-4018
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R770552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02930813
—
MS
Enumeration date
01/26/2006
Last updated
01/07/2009
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