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SHANDI SHIVER CRNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861837437

Individual Registrant:
 SHANDI  SHIVER CRNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1083 E RELHAM AVE  LOXLEY, AL 36551-2406 US
Tel: 251-964-4011  Fax: --

Contact information for business:
2 WATCH TOWER  SPANISH FORT, AL 36527-3007 US
Tel: 251-367-3760  Fax: --

Registration Information:
NPI: 1861837437
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-109636

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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