Individual
BRANDI SAKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3151
(228) 867-4124
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R882667
MS
363LG0600X
Gerontology Nurse Practitioner
R882667
MS
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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