Individual provider · Type 1 NPI
Amanda Rae Bivens
Student in an Organized Health Care Education/Training Program · Decatur, IL
NPI number
1295670511
Active
Practice location
4621 Dogwood Ct
Decatur, IL 62526-9326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1295670511
Amanda Rae Bivens's National Provider Identifier is 1295670511, issued on Apr 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Decatur, IL. The record was last updated on Apr 22, 2026.