Healthcare Provider Details
I. General information
NPI: 1831933423
Provider Name (Legal Business Name): SAYDREANA CURLEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/19/2024
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4566 S EASON BLVD
TUPELO MS
38801-6540
US
IV. Provider business mailing address
4566 S EASON BLVD
TUPELO MS
38801-6540
US
V. Phone/Fax
- Phone: 662-377-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WX0003X |
| Taxonomy | Inpatient Obstetric Registered Nurse |
| License Number | 921969 |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: