RAVEN MYRICK

BIRMINGHAM, AL
NPI1265902613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL  0000000)
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
RAVEN MYRICK CRNP
1600 7TH AVE S
BIRMINGHAM, AL 35233-1711
Phone number: 205-638-9100
Mailing Address
RAVEN MYRICK CRNP
400 BIRCHALL LN APT 208
HOOVER, AL 35226-6423
Phone number: 251-648-0423
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