Individual
HEATHER L BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
12741 LAUREL ST UNIT 88, LAKESIDE, CA 92040-2138
(619) 252-5658
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
4023
CA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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