Individual
NADINE SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2909 MARKET ST, WILMINGTON, NC 28403-1221
(910) 687-4888
Mailing address
2909 MARKET ST, WILMINGTON, NC 28403-1221
(910) 687-4888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017099
NC
363LF0000X
Family Nurse Practitioner
AP11334
AZ
363LP2300X
Primary Care Nurse Practitioner
AP11334
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450051
—
AZ
Enumeration date
08/29/2017
Last updated
07/01/2023
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