person
Ms. Ellen Bivens
Medical Physician Assistant in West Plains, Missouri
NPI 1447257324

Ellen Bivens is a Medical Physician Assistant based in West Plains, MO and is specialized in Medical. Ellen Bivens practices in West Plains, MO. The NPI Number for Ellen Bivens is 1447257324 and holds a License No. 120310 (Missouri).

The current practice location address for Ellen Bivens is 312 N Kentucky St, West Plains, MO and can be reached out via phone at 417-257-7076 and via fax at 417-257-1417.

Location: 312 N Kentucky St, West Plains, MO, 65775-2073
person
Provider Profile Details
NPI Number
1447257324
Provider Name
Ellen Bivens
Credential
Provider Entity Type
Individual
Gender
Female
Address
312 N Kentucky St, West Plains, MO, 65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202169405 05 MO
institution
Provider Business Practice Location Address Details
Address
312 N Kentucky St
City
State
Zip
65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
person
Provider Business Mailing Address Details
Address
312 N Kentucky St
City
State
Zip
65775-2073
Phone Number
417-257-7076
Fax Number
417-257-1417
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
120310 (Missouri)
Definition
Definition to come...
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