Individual
MRS. LELA BRIANNE KATTAWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7615 CLARINGTON CV, SOUTHAVEN, MS 38671-5647
(662) 536-2500
Mailing address
7615 CLARINGTON CV, SOUTHAVEN, MS 38671-5647
(662) 536-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R868653
MS
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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