Individual
MARY BIENOSEH
Active
Individual
MARY BIENOSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CCNS
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R170371
MD
364S00000X
Clinical Nurse Specialist
CS00075
MD
Other
Enumeration date
06/15/2013
Last updated
10/21/2016
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