Individual
MARY RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10939 AL HIGHWAY 157, MOULTON, AL 35650-1914
(256) 974-6550
Mailing address
PO BOX 340, MOULTON, AL 35650-0340
(256) 762-2921
(256) 974-8211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-172359
AL
Other
Enumeration date
04/24/2024
Last updated
05/12/2024
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