Individual
MARY EDITH DENIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6230 HIGHWAY 53, POPLARVILLE, MS 39470-8416
(601) 408-0916
Mailing address
6230 HIGHWAY 53, POPLARVILLE, MS 39470-8416
(601) 408-0916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876536
MS
Other
Enumeration date
04/27/2011
Last updated
01/31/2017
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