Individual
CYNTHIA SUE SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
320 HOSPITAL DR, MARTINSVILLE, VA 24112-1900
(276) 666-7394
(276) 666-7866
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169539
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169539
VA
Other
Enumeration date
09/27/2011
Last updated
06/18/2024
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