Provider Demographics
NPI:1912553181
Name:BICKERSTAFF, ARRIE LEE
Entity Type:Individual
Prefix:MRS
First Name:ARRIE
Middle Name:LEE
Last Name:BICKERSTAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7109 WESTMORELAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064
Mailing Address - Country:US
Mailing Address - Phone:205-923-8081
Mailing Address - Fax:
Practice Address - Street 1:7109 WESTMORELAND DRIVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064
Practice Address - Country:US
Practice Address - Phone:205-923-8081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider