Individual
MRS. LAUREL WIELAND BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
988 OAK RIDGE TPKE STE 350, OAK RIDGE, TN 37830-6964
(865) 481-0333
(865) 374-2111
Mailing address
3001 LAKE BROOK BLVD STE 101, KNOXVILLE, TN 37909-3761
(865) 374-0600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22734
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
22734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034220
—
TN
Enumeration date
10/12/2017
Last updated
09/24/2024
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