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Individual

VICKIE STURDIVANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
700 19TH ST S, ADMINISTRATIVE MEDICINE (11F), BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-4809
Mailing address
700 19TH ST S, ADMINISTRATIVE MEDICINE (11F), BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-4809

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-046300
AL

Other

Enumeration date
07/25/2006
Last updated
07/08/2007
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