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Individual

SHAYRIA RAICHELLE CATLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
5580 INN RD, MOBILE, AL 36619-1904
(251) 666-7413
(251) 666-7417
Mailing address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8158
(251) 544-2188

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-118258
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011846
MEDICARE GROUP PAYEE NUMBER
AL
01
1063439065
GROUP PAYEE NPI NUMBER
AL
05
630000013
AL
Enumeration date
09/15/2014
Last updated
09/23/2014
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