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1447919030
SHANELLY RIVAS
PALM BAY, FL
NPI
1447919030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL F12210010)
Enumeration Date
2021-12-11
Last Update Date
2021-12-11
Business Address
SHANELLY RIVAS APRN, FNP-C
1239 MEISSEN AVE NW
PALM BAY, FL 32907-1037
Phone number: 321-525-6476
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Mailing Address
SHANELLY RIVAS APRN, FNP-C
1239 MEISSEN AVE NW
PALM BAY, FL 32907-1037
Phone number: 321-525-6476
Copy
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