Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 036-106207 | IL |
NPI | 1003846148 |
---|---|
Provider Name | Nana Biney |
First Address | Portland, OR 97208-3360 |
Second Address | Everett, WA 98201-4147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 17/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036106207 | (05) | IL |
H94103 | (02) |