Individual
MS. BRENDA THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1056 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 656-8545
(601) 656-3985
Mailing address
1056 HOLLAND AVE, PHILADELPHIA, MS 39350-9121
(601) 656-8545
(601) 656-3985
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R588458
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04634811
—
MS
Enumeration date
08/11/2010
Last updated
11/15/2012
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