Individual
MRS. MARANDA L HUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
87 SELLERS ST, WIGGINS, MS 39577-8741
(601) 528-4459
Mailing address
87 SELLERS ST, WIGGINS, MS 39577-8741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902227
MS
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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