Healthcare Provider Details

I. General information

NPI: 1669736237
Provider Name (Legal Business Name): SOLANGE BIH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 METZEROTT RD APT # 32
ADELPHI MD
20783-5126
US

IV. Provider business mailing address

610 MAIN ST APT 109
LAUREL MD
20707-4064
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-2575
  • Fax:
Mailing address:
  • Phone: 240-481-2575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR197868
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1023008
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: