Individual
ALEXANDRA KRISTINE SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 DEBARTOLO PL, YOUNGSTOWN, OH 44512-7004
(330) 729-8380
(330) 729-8399
Mailing address
697 E 15TH ST, SALEM, OH 44460-1251
(234) 564-7586
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207PH0002X
OH
Other
Enumeration date
01/24/2020
Last updated
11/05/2020
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