Individual
LAURIE CABRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1222 S MAIN ST, POPLARVILLE, MS 39470-3318
(601) 795-9320
(601) 795-9876
Mailing address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6600
(601) 928-6658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R716413
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123695
—
MS
01
—
500027732
RAILROAD MEDICARE
—
01
—
640507572RV
AMERICAN ADMIN GROUP
MS
Enumeration date
08/01/2006
Last updated
09/29/2008
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