Provider Demographics
NPI:1285199422
Name:BIERMAN, AMANDA B (NP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:B
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR
Mailing Address - Street 2:FL 3
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-253-4924
Mailing Address - Fax:502-489-5750
Practice Address - Street 1:721 S PRESTON ST FL 2
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2319
Practice Address - Country:US
Practice Address - Phone:502-583-1799
Practice Address - Fax:502-583-1792
Is Sole Proprietor?:No
Enumeration Date:2019-02-01
Last Update Date:2021-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71008760A363L00000X
KY3013109363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3013109OtherKY MEDICAL LICENSE