Provider Demographics
NPI:1144357138
Name:BIEN, MONICA (PA)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:BIEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N MADISON BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-4573
Mailing Address - Country:US
Mailing Address - Phone:336-598-2223
Mailing Address - Fax:336-322-0996
Practice Address - Street 1:1001 POTRERO AVE # 1E21
Practice Address - Street 2:SFGH EMERGENCY DEPARTMENT
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8059
Practice Address - Fax:415-206-4195
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA17274363AM0700X
NC0010-14425363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
106872OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
Q26461Medicare UPIN