Individual
JAMES BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
39700 BOB HOPE DR STE 216, RANCHO MIRAGE, CA 92270-7109
(760) 837-8767
(760) 837-8806
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8767
(760) 837-8806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001284
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B9360838
DRIVERS LICENSE
CA
Enumeration date
11/12/2014
Last updated
05/08/2019
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