Individual
MS. LEE ANN BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(844) 458-2100
Mailing address
1911 MULBERRY ST, WAGONER, OK 74467-3002
(918) 441-8143
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R0068136
OK
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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