| Viviam Frade Dante, CRNP | |
|
102 Physicians Dr Ste A, Muscle Shoals, AL 35661-2149 | |
| (256) 286-4026 | |
| (256) 381-4783 |
| Full Name | Viviam Frade Dante |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 102 Physicians Dr Ste A, Muscle Shoals, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952988495 | NPI | - | NPPES |
| 267489 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-126099 (Alabama) | Primary |
| Entity Name | Lister Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174579213 PECOS PAC ID: 5395646202 Enrollment ID: O20211111002469 |
| Mailing Address | Practice Location Address |
|---|---|
| Viviam Frade Dante, CRNP 715 W Dearborn Ave, Muscle Shoals, AL 35661-2911 Ph: (256) 394-7272 | Viviam Frade Dante, CRNP 102 Physicians Dr Ste A, Muscle Shoals, AL 35661-2149 Ph: (256) 286-4026 |
Kristy Miles, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-389-9300 | |
Mr. Thaddeus Jason Boughton, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 Phone: 256-314-2431 Fax: 256-314-2435 | |
Mrs. Melissa Anne Aycock, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022 | |
Jessica Byrd, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 State St, Muscle Shoals, AL 35661 Phone: 256-381-6963 Fax: 256-826-0303 | |
Laura Geneva Gilmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-826-1001 Fax: 256-978-5118 | |
Elizabeth Anne Raper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Avalon Ave, Suite B, Muscle Shoals, AL 35661 Phone: 256-386-0809 Fax: 256-383-8000 | |
Stacy Davis, ANCC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 W State St, Muscle Shoals, AL 35661 Phone: 256-978-4441 |