Individual
MS. MARISA ROCHELLE BIEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004077A
IN LICENSE
IN
01
—
1103676339
ANTHEM BCBS
IN
01
—
1210677
PHYSICIAN ASSISTANT
IN
05
—
300080036
—
IN
05
—
7100922520
—
KY
Enumeration date
03/07/2022
Last updated
03/05/2024
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