Individual
HEATHER LYNNE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP ENP
Contact information
Practice address
1300 NE GOLDIE ST, OAK HARBOR, WA 98277-4832
(360) 240-4055
Mailing address
3017 140TH ST NW, MARYSVILLE, WA 98271-7165
(281) 904-2226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
675750
TX
363L00000X
Nurse Practitioner
Primary
AP60455438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175681901
—
TX
Enumeration date
09/16/2006
Last updated
09/24/2020
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