Most Relevant Information
Provider Data
| NPI Number: | 1003261074 |
| Provider Name: | DOROTHY NIVENS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5008528 |
Most Important Dates
| Enumeration Date: | 04/27/2016 |
| Last Updated: | 12/01/2022 |
Provider Practice Location
4363 TUCKER CHASE DR
MIDLAND
NC
281077812
Practice Location Phone/Fax
| Phone: | 7043229156 |
| Fax: |
Provider Mailing Location
4363 TUCKER CHASE DR
MIDLAND
NC
281077812
Provider Mailing Phone/Fax
| Phone: | 7043229156 |
| Fax: |