Active NPIIndividual providerSole proprietor

Biana K Mico, FNP-BC

Nurse Practitioner, Family in Wellesley, Massachusetts

NPI Number1295111888
Practice location
195 Worcester St, Suite 102, Wellesley, MA 02481-5568
Fax
—
Last updated
July 9, 2016

Biana Korjevsky Mico is a Nurse Practitioner, Family based in Wellesley, MA. Biana Korjevsky Mico practices in Wellesley, MA and has the professional credentials of FNP-BC. The NPI Number for Biana Korjevsky Mico is 1295111888 and holds a License No. RN2278675 (MA). The current practice location address for Biana Korjevsky Mico is 195 Worcester St, Suite 102, Wellesley, MA 02481-5568 and can be reached out via phone at 617-219-1510.

Provider Profile Details

NPI Number
1295111888
Provider Name
Biana Korjevsky Mico
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
195 Worcester St, Suite 102, Wellesley, MA 02481-5568
Phone Number
617-219-1510
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 5, 2015
Last Update Date
July 9, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Worcester St
Suite 102
Wellesley, MA 02481-5568
Zip
02481-5568
Phone Number
617-219-1510
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
62 Brucewood St
West Roxbury, MA 02132-1304
City
West Roxbury
State
MA
Zip
02132-1304

License Information

License Number
RN2278675
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Biana K Mico, FNP-BC?

The NPI number of Biana K Mico, FNP-BC is 1295111888. It was assigned on August 5, 2015 and is currently active in the NPPES registry.

What is the specialty of Biana K Mico, FNP-BC?

Biana K Mico, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2278675.

Where does Biana K Mico, FNP-BC practice?

The practice location is 195 Worcester St, Suite 102, Wellesley, MA 02481-5568. The office can be reached at 617-219-1510 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295111888 directly on the NPPES registry website.

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