SHANNA STIVERS DAVE

BEDFORD, KY
NPI1598591075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: KY  4027554)
Enumeration Date2024-09-11
Last Update Date2024-09-11
Business Address
SHANNA STIVERS DAVE APRN-CNP PMHNP-BC
18 ALEXANDER AVE UNIT 1
BEDFORD, KY 40006-1114
Phone number: 502-255-0222
Mailing Address
SHANNA STIVERS DAVE APRN-CNP PMHNP-BC
PO BOX 124
EMINENCE, KY 40019-0124
Phone number: 502-593-0083
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