Individual
RITHA G BOOKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 VINE DRIVE, BRANDON, MS 39047-9113
(601) 829-3940
(601) 829-3941
Mailing address
100 VINE DRIVE, BRANDON, MS 39047-9113
(601) 829-3940
(601) 829-3941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R851704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01786739
—
MS
Enumeration date
10/11/2007
Last updated
04/25/2019
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