Individual
VIVIAM FRADE DANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
102 PHYSICIANS DR STE A, MUSCLE SHOALS, AL 35661-2149
(256) 286-4026
(256) 381-4783
Mailing address
715 W DEARBORN AVE, MUSCLE SHOALS, AL 35661-2911
(256) 394-7272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-126099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267489
—
AL
Enumeration date
03/29/2021
Last updated
07/28/2021
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