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Individual

MRS. SHANQUAIL H ARCHIBALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
11889 GLEN RIDGE BLVD, MOUNDVILLE, AL 35474-6368
(205) 561-7724
Mailing address
11889 GLEN RIDGE BLVD, MOUNDVILLE, AL 35474-6368
(205) 561-7724

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-127996
AL
363LA2200X
Adult Health Nurse Practitioner
2013015363
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
2013015363
AL

Other

Enumeration date
01/31/2014
Last updated
03/11/2026
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