Individual
MARY DEEANNA SIVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
108 TIMBERLINE DR, ARAB, AL 35016-4672
(256) 200-4237
Mailing address
108 TIMBERLINE DR, ARAB, AL 35016-4672
(256) 200-4237
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2-024750
AL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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