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NPI Code Detail

MEDICARE: MISS SAGINE BIEN-AIME CRNP

MEDICARE: MISS SAGINE BIEN-AIME CRNP
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
1363LA2200XAdult Health Nurse PractitionerSP010650PA
2363LG0600XGerontology Nurse PractitionerSP010629PA

General Provider Information

NPI Number : 1831428846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SAGINE BIEN-AIME CRNP
Provider Business Mailing Address
First Line : 6123 LEBANON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19151-3231
Country : US
Telephone Number : 267-226-8129
Fax Number :
Provider Business Practice Location Address
First Line : 6950 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2120
Country : US
Telephone Number : 215-951-7621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2009
Last Update Date : 07/14/2011

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