Individual
MRS. MARY ELIZABETH HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4770 AMOCO DR, MOSS POINT, MS 39563-9627
(228) 474-9511
(228) 474-9506
Mailing address
4770 AMOCO DR, MOSS POINT, MS 39563-9627
(228) 474-9511
(228) 474-9506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
I-085233
AL
363L00000X
Nurse Practitioner
R213146-9
MN
Other
Enumeration date
06/07/2006
Last updated
05/07/2019
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