IndividualActive
Bruce Walls
NPI 1184019069 · Attendant Care Provider · Roxie, MS
Provider details
- NPI number
- 1184019069
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
104 Cranfield Rd
Roxie, MS 39661-9662
Phone: (601) 660-0962
Approximate (ZIP-level) locationGet directions
Mailing address
104 Cranfield Rd
Roxie, MS 39661-9662
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2015-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.