Individual
TREVOR SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
5258A WRIGHT SPUR RD, TOOMSUBA, MS 39364-9716
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
902003
MS
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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