Arnold-Spruill, Cynthia Dianne

Arnold-Spruill, Cynthia Dianne is an individual health care provider with primary practice located at 424 S 13Th Ave , Laurel MS 39440-4345. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Arnold-Spruill, Cynthia Dianne can be contacted via phone (601) 649-5990.

Contact Information

Primary practice address
424 S 13Th Ave Laurel MS 39440-4345
Fax: (601) 425-7510
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R623113 Mississippi

Profile Details

NPI number 1013103415
LBN Legal business name Arnold-Spruill, Cynthia Dianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Aug 4th, 2014 - about 10 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 1013103415 NPPES
Mississippi Other 2831404 UHC
Mississippi Other P00691502 UHC
Mississippi MEDICAID 04984364 UHC

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