Doctor Name: | MR. RUSSELL RILEY BIEN |
NPI Number: | 1245449271 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNP |
License Number: | 1-078123 |
Business Practice Address: | 1640 South Wilson Dam Road Valley Medical Care Muscle Shoals, AL - 35661 |
Business Phone Number: | 2563207160 |
Business Fax Number: | 2569785616 |
Mailing Address: | 1640 South Wilson Dam Road, Valley Medical Care MUSCLE SHOALS |
State: | AL |
Postal Code: | 35661 |
Phone Number: | 2563207160 |
Fax Number: | 2569785616 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 1-078123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |