Individual
MRS. LAURA A. TRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 YALOBUSHA ST, GREENWOOD, MS 38930-2015
(662) 453-4563
Mailing address
PO BOX 62, CARROLLTON, MS 38917-0062
(662) 237-6320
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R506575
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123991
—
MS
Enumeration date
02/09/2007
Last updated
07/09/2007
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