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Individual

SHARA MARIE VILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1530 3RD AVE S, THT 422, BIRMINGHAM, AL 35294-0002
(205) 934-3398
Mailing address
845 CRESTVIEW PL, TRUSSVILLE, AL 35173-4647
(205) 467-0275

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-091496
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-091496
AL

Other

Enumeration date
08/29/2013
Last updated
02/01/2024
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