Individual
MRS. EMILY CLAIRE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
3830 E VAN BUREN ST, PHOENIX, AZ 85008-6920
(602) 243-7277
Mailing address
19029 N 31ST PL, PHOENIX, AZ 85050-2522
(630) 453-1741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86151312
IL
Other
Enumeration date
12/10/2020
Last updated
12/18/2024
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