| NPI | 1053068858 |
|---|---|
| Former Name | HAYLEY ANN BIVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11021415) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9363963) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-02-06 |