Manivanh Prudhomme, NP

NURSE PRACTITIONER

4204 Clay St
Vicksburg, MS 391833438
(601) 619-7717
**NPI:** 1144831140
**Med School:** OTHER
**Experience:** 5 years
**Telehealth:** No
**Medicare Assignment:** Yes

Practice Locations (1)

QUAD INTERMED COMPANY LLC

4204 Clay St
Vicksburg, MS 391833438

Phone: (601) 619-7717

**Group ID:** 6709245954 | **Group Size:** 37 members

Hospital Affiliations

MERIT HEALTH RIVER REGION Type: Hospital
2100 HWY 61 N
Phone: (601) 883-5000
Medicare CCN: 250031 View Profile
Home health agency Type: Home health agency
Medicare CCN: 257126 View Profile

MIPS Performance Score

MIPS performance data is not available or not publicly reported.

Procedure Volume (Utilization)

Procedure volume data is not available for public display.

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