Mrs Elsa Renee Fox, NP | |
14001 Wolf Run Blvd, Gulfport, MS 39503-8391 | |
(228) 263-1088 | |
Not Available |
Full Name | Mrs Elsa Renee Fox |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 14001 Wolf Run Blvd, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720779846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 905997 (Mississippi) | Primary |
Entity Name | Wound Management Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339 |
Mailing Address | Practice Location Address |
---|---|
Mrs Elsa Renee Fox, NP 14001 Wolf Run Blvd, Gulfport, MS 39503-8391 Ph: (228) 263-1088 | Mrs Elsa Renee Fox, NP 14001 Wolf Run Blvd, Gulfport, MS 39503-8391 Ph: (228) 263-1088 |
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