Individual provider · Type 1 NPI

Austin Wyatt Bivins, CRNP

Acute Care Nurse Practitioner · Dothan, AL

NPI number 1720646102 Active

Practice location

4370 W Main St
Dothan, AL 36305-4000

Call (334) 793-5000 Map

Mailing address

413 Burt Dr Apt 7
Dothan, AL 36305-1161

Other practice locations

413 Burt Dr Apt 7, Dothan, AL 36305-1161 · (317) 735-5567

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	1-151891 (AL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720646102

Austin Wyatt Bivins, CRNP's National Provider Identifier is 1720646102, issued on May 31, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dothan, AL. The record was last updated on May 31, 2019.