Provider Demographics
NPI:1609273978
Name:BIHL, IRENE (DNP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:
Last Name:BIHL
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SMITH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-3230
Mailing Address - Country:US
Mailing Address - Phone:203-947-2147
Mailing Address - Fax:
Practice Address - Street 1:110 BOONE SQUARE ST STE 29
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2665
Practice Address - Country:US
Practice Address - Phone:984-215-2615
Practice Address - Fax:919-296-9331
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-02
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010034363LF0000X
CT005358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily