Individual
BETTY DIANE EDRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
2 TOWER PLAZA, PINEVILLE ROAD, LONG BEACH, MS 39560
(228) 575-4374
(228) 575-4303
Mailing address
2 TOWER PLAZA, PINEVILLE ROAD, LONG BEACH, MS 39560
(228) 575-4374
(228) 575-4303
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R138400
MS
363LF0000X
Family Nurse Practitioner
Primary
R138400
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05885307
—
MS
Enumeration date
10/31/2006
Last updated
06/14/2024
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