Individual
WANDA SUE STROUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1007 N MAIN ST, RIPLEY, MS 38663-1424
(662) 993-9336
(662) 993-9338
Mailing address
PO BOX 4027, TUPELO, MS 38803-4027
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R622214
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01682365
—
MS
Enumeration date
01/26/2006
Last updated
07/08/2007
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