Provider Demographics
NPI:1619297702
Name:BIVINS, FRANCINE B (LPN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:B
Last Name:BIVINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:OBERNBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12767-0085
Mailing Address - Country:US
Mailing Address - Phone:845-866-3585
Mailing Address - Fax:
Practice Address - Street 1:34 BANUAT RD
Practice Address - Street 2:
Practice Address - City:OBERNBURG
Practice Address - State:NY
Practice Address - Zip Code:12767-0085
Practice Address - Country:US
Practice Address - Phone:845-866-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299032-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse