Individual
MRS. FELICIA SMITH BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1102 STUART DR, WADESBORO, NC 28170-3154
(704) 294-5437
Mailing address
1102 STUART DR, WADESBORO, NC 28170-3154
(704) 294-5437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199339
NC
163WC1500X
Community Health Registered Nurse
199339
NC
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
199339
NC
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372500000X
Chore Provider
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2024
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