Individual
MRS. MEREDITH HUBBARD WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39402-7200
(601) 288-7000
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 443-3672
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R875440
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R875440
MEDICAL LICENSE
MS
Enumeration date
12/11/2014
Last updated
12/11/2014
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