Mrs. LAURIE EILEEN BIVINS RN, MSN, CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1417932567- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, MSN, CPNP
- Status
- Active
Contact & Location
- Address
- 3515 DALLAS HWY SW STE C, MARIETTA, GA, 300642095
- Phone
- (770) 943-9150
- Fax
- (770) 218-0278
Specialties & Taxonomies
Registered Nurse
License: GA #094302
Nurse Practitioner, Pediatrics
Primary License: GA #85069