Individual
SANDY REVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, B-C
Contact information
Practice address
2637 EASTERN BLVD, MONTGOMERY, AL 36117-1509
(334) 409-9090
(334) 409-9669
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-080472
AL
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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