Individual
MRS. EMILY BISSINGER RIVENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 SOUTH MCNEIL ST., BURGAW, NC 28425
(910) 259-5011
Mailing address
301 SOUTH MCNEIL ST., BURGAW, NC 28425
(910) 259-5011
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5005321
NC
Other
Enumeration date
10/11/2011
Last updated
01/30/2012
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