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Individual
TIA SHIVER
Active
Individual
TIA SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R176510
MD
163WC0400X
Case Management Registered Nurse
R176510
MD
Other
Enumeration date
12/21/2021
Last updated
09/02/2025
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