Individual
MARSHA D SHIVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
225 PHYSICIANS PARK STE 303, POPLAR BLUFF, MO 63901-3930
(573) 785-6536
(573) 785-0345
Mailing address
PO BOX 157, ELLINGTOM, MO 63638-0157
(573) 323-0423
(573) 323-8931
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
075449
MO
Other
Enumeration date
09/28/2006
Last updated
07/21/2022
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