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General NPI Number Information
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NPI Number | 1407366982
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Entity Type | Individual
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Provider Name | MICHAEL RAYMOND BIAS APRN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2017
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3200 MACCORKLE AVE SE
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City | CHARLESTON
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State | WV
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Zip | 25304-1227
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Country | US
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Telephone | 304-388-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 MACCORKLE AVE SE
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City | CHARLESTON
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State | WV
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Zip | 25304-1297
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Country | US
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Telephone | 43-388-9415
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Fax | 304-388-8814
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3011737
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 021586
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN66161
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License Number State | WV
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