Basic Information
Provider Information
NPI: 1750762266
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIELSKI
FirstName: AMEE
MiddleName: MASSEY
NamePrefix:  
NameSuffix:  
Credential: ANP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 915 TATE BLVD SE
Address2: STE 170
City: HICKORY
State: NC
PostalCode: 286024042
CountryCode: US
TelephoneNumber: 8283450800
FaxNumber: 8283450350
Practice Location
Address1: 915 TATE BLVD SE
Address2: STE 170
City: HICKORY
State: NC
PostalCode: 286024042
CountryCode: US
TelephoneNumber: 8283450800
FaxNumber: 8283450350
Other Information
ProviderEnumerationDate: 06/11/2015
LastUpdateDate: 07/29/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X5007663NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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