Individual
MARTHA NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
934 WEST DR, LAUREL, MS 39440-4702
(601) 426-7520
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R508225
MS
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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