Individual
EMILY ROBERTS AUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
107 CHURCH ST., BELZONI, MS 39038
(662) 247-2105
(662) 247-4849
Mailing address
P.O. BOX 633, BELZONI, MS 39038
(662) 247-2105
(662) 248-4849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R867435
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014025
—
MS
Enumeration date
09/08/2009
Last updated
09/10/2009
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