Individual
NICHOLE BIVENS-HEUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1005 W GREEN ST, HASTINGS, MI 49058-1712
(269) 948-8057
Mailing address
1005 W GREEN ST, HASTINGS, MI 49058-1712
(269) 948-8057
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704269069
MI
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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