Provider Demographics
NPI:1801489893
Name:BIBER, HEIDI SARAHPHENA
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:SARAHPHENA
Last Name:BIBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:275 BECK AVE,
Mailing Address - Street 2:MS 5-250
Mailing Address - City:FARIFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:707-297-3331
Mailing Address - Fax:
Practice Address - Street 1:275 BECK AVE,
Practice Address - Street 2:MS 5-250
Practice Address - City:FARIFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533
Practice Address - Country:US
Practice Address - Phone:707-297-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator