Provider Demographics
NPI:1477251197
Name:BIVINS, DANESHA
Entity Type:Individual
Prefix:
First Name:DANESHA
Middle Name:
Last Name:BIVINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-7340
Mailing Address - Country:US
Mailing Address - Phone:561-633-5636
Mailing Address - Fax:
Practice Address - Street 1:657 W 9TH ST
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-7340
Practice Address - Country:US
Practice Address - Phone:561-633-5636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula