ERICA LEE RIVENBARK

DOTHAN, AL
NPI1326929969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-191912)
Enumeration Date2025-09-10
Last Update Date2025-09-10
Business Address
-- ERICA LEE RIVENBARK CRNP
105 PROFESSIONAL LN
DOTHAN, AL 36303-3875
Phone number: 334-699-1419
Mailing Address
-- ERICA LEE RIVENBARK CRNP
699 THOMLEY RD
NEWTON, AL 36352-8923
Phone number: 334-699-1419
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