Provider Demographics
NPI:1891969697
Name:BIEHN, MARCIA C (C-FNP)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:C
Last Name:BIEHN
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 MESQUITE AVE
Mailing Address - Street 2:STE A
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5885
Mailing Address - Country:US
Mailing Address - Phone:928-855-8071
Mailing Address - Fax:928-855-6869
Practice Address - Street 1:1830 MESQUITE AVE
Practice Address - Street 2:STE A
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5885
Practice Address - Country:US
Practice Address - Phone:928-855-8071
Practice Address - Fax:928-855-6869
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN027816363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner