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Individual

SHONNA T RIVELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP.1-120530
AL

Other

Enumeration date
08/23/2017
Last updated
08/29/2021
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