Individual
MS. ANGEL S, HARBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
149 N EASON BLVD, TUPELO, MS 38804
(662) 678-1050
(662) 678-1067
Mailing address
PO BOX 726, TUPELO, MS 38802
(662) 678-1050
(662) 678-1067
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R697621
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121401
—
MS
Enumeration date
08/02/2006
Last updated
02/11/2010
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