MICHELLE BIVANS

CHARLESTON, WV
NPI1578361507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  23600)
Enumeration Date2025-03-05
Last Update Date2025-03-05
Business Address
MICHELLE BIVANS
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301-2835
Phone number: 681-313-4759
Mailing Address
MICHELLE BIVANS
486 CHESHIRE RD
BUNKER HILL, WV 25413-3506
Phone number: 304-676-2775