Individual
SHAUN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN
Contact information
Practice address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 324-5051
Mailing address
700 S SYCAMORE ST, SUITE 1, PETERSBURG, VA 23803-5802
(804) 324-5051
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
0001146276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001146276
REGISTERED NURSE
VA
Enumeration date
04/13/2016
Last updated
04/13/2016
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