person
Ms. Mary Penland Speyrer, NP
Acute Care Nurse Practitioner in Gulfport, Mississippi
NPI 1659350700

Mary Penland Speyrer is an Acute Care Nurse Practitioner based in Gulfport, MS and is specialized in Acute Care. Mary Penland Speyrer practices in Gulfport, MS and has the professional credentials of NP. The NPI Number for Mary Penland Speyrer is 1659350700 and holds a License No. AP03039 (Mississippi).

The current practice location address for Mary Penland Speyrer is 9344 Three Rivers Rd, Gulfport, MS and can be reached out via phone at 228-865-9898 and via fax at 228-863-5616. You can also correspond with Mary Penland Speyrer through the mailing address at PO BOX 2563, GULFPORT, MS - 39505-2563 (mailing address contact number: 228-865-9898).

Location: 9344 Three Rivers Rd, Gulfport, MS, 39505-2563
person
Provider Profile Details
NPI Number
1659350700
Provider Name
Mary Penland Speyrer
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9344 Three Rivers Rd, Gulfport, MS, 39505-2563
Phone Number
228-865-9898
Fax Number
228-863-5616
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
558986YNL6 01 MS MEDICARE
5000023389 01 LA RAILROAD MEDICARE
232781 01 LA WELLCARE
01200718 05 MS
1533173 05 LA
institution
Provider Business Practice Location Address Details
Address
9344 Three Rivers Rd
City
State
Zip
39503-4268
Phone Number
228-865-9898
Fax Number
228-863-5616
person
Provider Business Mailing Address Details
Address
9344 Three Rivers Rd
City
State
Zip
39503-4268
Phone Number
228-865-9898
Fax Number
228-863-5616
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP03039 (Louisiana)
Definition
Definition to come...
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