Provider Demographics
NPI:1912873696
Name:BIEN, CONNIE LYNN
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:LYNN
Last Name:BIEN
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 1:406 E PARK ST LOT 22
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:MN
Mailing Address - Zip Code:56567-4527
Mailing Address - Country:US
Mailing Address - Phone:218-457-0721
Mailing Address - Fax:
Practice Address - Street 1:406 E PARK ST LOT 22
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:MN
Practice Address - Zip Code:56567-4527
Practice Address - Country:US
Practice Address - Phone:218-457-0721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1128826253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency