Individual
MS. ANNA LAURA MAINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7000
Mailing address
2390 SPARTA RD, HOLCOMB, MS 38940-9770
(662) 417-0199
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
904837
MS
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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