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TOTAL LIFE CARE LLC NPI 1952646754


NPI Information

NPI: 1952646754
Provider Name: TOTAL LIFE CARE LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
301 W PINE ST
HATTIESBURG, MS
ZIP 39401
Phone: (601) 544-0029
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TOTAL LIFE CARE LLC is an adult health nurse practitioner in Hattiesburg, MS. TOTAL LIFE CARE LLC NPI is 1952646754. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

301 W PINE ST
HATTIESBURG, MS
ZIP 39401-829
Phone: (601) 544-0029
Fax: (601) 544-0780

The provider's authorized official is Precia Pedersen .
The authorized official title is Office Manager and has the following contact phone number (601) 544-0029.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 12/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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