Individual
MRS. LAUREL WIELAND BIVENS
Active
Individual
MRS. LAUREL WIELAND BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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
Update your record
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