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Individual

CAROL BIVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-NP

Contact information

Practice address
1001 S KIRKWOOD RD STE 180, SAINT LOUIS, MO 63122-7254
(314) 543-5980
(314) 543-5985
Mailing address
1001 S KIRKWOOD RD STE 180, SAINT LOUIS, MO 63122-7254
(314) 543-5980
(314) 543-5985

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2020028547
MO

Other

Enumeration date
09/01/2020
Last updated
04/16/2026
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