Individual
MRS. MARY PATRICIA PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2781 C T SWITZER DRIVE, SUITE 402, BILOXI, MS 39531-8001
(228) 388-0949
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R876274
MS
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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