Individual
TAMBRA SHIVER MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 990-1922
(251) 990-1912
Mailing address
PO BOX 1276, FAIRHOPE, AL 36533-1276
(251) 990-1922
(251) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1128843
AL
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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