Individual
ERICA LEE RIVENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
105 PROFESSIONAL LN, DOTHAN, AL 36303-3875
(334) 699-1419
Mailing address
105 PROFESSIONAL LN, DOTHAN, AL 36303-3875
(334) 699-1419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-191912
AL
Other
Enumeration date
09/10/2025
Last updated
04/29/2026
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