Provider Demographics
NPI:1154544716
Name:BIVINS, YVONNE ELALNE (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:ELALNE
Last Name:BIVINS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MCCANDLESS PL
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-1234
Mailing Address - Country:US
Mailing Address - Phone:908-587-0589
Mailing Address - Fax:973-466-2715
Practice Address - Street 1:269 OLIVER ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-2507
Practice Address - Country:US
Practice Address - Phone:973-466-1300
Practice Address - Fax:973-466-2715
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10876200163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult