Provider Demographics
NPI:1932544848
Name:MCIVER, ALISHA MARIE (CNA)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:MARIE
Last Name:MCIVER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2921
Mailing Address - Country:US
Mailing Address - Phone:912-376-6744
Mailing Address - Fax:
Practice Address - Street 1:6009 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2921
Practice Address - Country:US
Practice Address - Phone:912-376-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028910386376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide