Provider Demographics
NPI:1619600103
Name:YEARWOOD, DENA BIVIN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DENA
Middle Name:BIVIN
Last Name:YEARWOOD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 EDGEWATER LN
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-2000
Mailing Address - Country:US
Mailing Address - Phone:205-915-8694
Mailing Address - Fax:
Practice Address - Street 1:125 ALISON DR STE 8
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-4410
Practice Address - Country:US
Practice Address - Phone:256-409-2159
Practice Address - Fax:256-409-2178
Is Sole Proprietor?:No
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-083902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily