Speyrer, Mary Penland

Speyrer, Mary Penland is an individual health care provider with primary practice located at 9344 Three Rivers Rd , Gulfport MS 39503-4268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Speyrer, Mary Penland can be contacted via phone (228) 865-9898.

Contact Information

Primary practice address
9344 Three Rivers Rd Gulfport MS 39503-4268
Phone: (228) 865-9898
Fax: (228) 863-5616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP03039 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 901778 Mississippi

Profile Details

NPI number 1659350700
LBN Legal business name Speyrer, Mary Penland
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659350700 NPPES
Mississippi Other 558986YNL6 MEDICARE
Mississippi Other 5000023389 MEDICARE
Mississippi Other 232781 MEDICARE
Mississippi MEDICAID 01200718 MEDICARE
Mississippi MEDICAID 1533173 MEDICARE

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