Individual provider · Type 1 NPI

Aly Lauren Bise

Neonatal Nurse Practitioner · Columbia, SC

NPI number 1104577600 Active

Practice location

5 Richland Medical Park Dr
Columbia, SC 29203-6863

Mailing address

104 Creek Vista Way
Columbia, SC 29206-3153

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X25878 (SC)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1104577600

Aly Lauren Bise's National Provider Identifier is 1104577600, issued on Jan 16, 2022. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Columbia, SC. The record was last updated on Oct 15, 2026.