Individual provider · Type 1 NPI

Tia La'shey Sturdivant, CRNP

Family Nurse Practitioner · Montgomery, AL

NPI number 1245054733 Active

Practice location

1725 Pine St
Montgomery, AL 36106-1117

Mailing address

403 County Road 819
Selma, AL 36701-1901

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1-149855 (AL)

Family Nurse Practitioner: Definition to come...

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About NPI 1245054733

Tia La'shey Sturdivant, CRNP's National Provider Identifier is 1245054733, issued on Nov 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Montgomery, AL. The record was last updated on Nov 11, 2024.