Individual
MARI MICCI BRAMUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
810 E SUNFLOWER RD STE 100B, CLEVELAND, MS 38732-2828
(662) 579-3484
(662) 579-3485
Mailing address
225 WESTWOOD DR, CLEVELAND, MS 38732-8718
(662) 588-3193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
27148
TN
363LF0000X
Family Nurse Practitioner
32712
TX
363LF0000X
Family Nurse Practitioner
Primary
904432
MS
Other
Enumeration date
01/20/2020
Last updated
05/26/2022
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