Individual
MARISSA BRADLEA SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3670 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1800
Mailing address
3670 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-186805
AL
363L00000X
Nurse Practitioner
Primary
1-186805
AL
Other
Enumeration date
09/21/2023
Last updated
11/10/2023
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