Individual
BRANDI NICOLE BIVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
266 W COLUMBIA ST, ALLIANCE, OH 44601-2328
(330) 356-6578
Mailing address
266 W COLUMBIA, ALLIANCE, OH 44601-2328
(330) 356-6578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.IV145-425
OH
Other
Enumeration date
05/07/2015
Last updated
07/14/2015
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