Individual
MRS. SHANNON MARIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
Mailing address
179 CARDINAL LOOP, CROSSVILLE, TN 38555-5897
(931) 200-2237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242978
TN
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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