MEDICARE: WEYATTA BIEH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle
2	376J00000X	Homemaker
3	164W00000X	Licensed Practical Nurse	169984	OH

General Provider Information

NPI Number	:	1538875554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEYATTA BIEH

Provider Business Mailing Address
First Line	:	3712 DAWN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 DAWN CT
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4841
Country	:	US
Telephone Number	:	614-736-6754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	04/06/2023

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Directions to “ WEYATTA BIEH ” Practice Location

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