Provider Demographics
NPI:1326580440
Name:BIERMAN, LAUREN (DNP, PMHNP, AGNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:DNP, PMHNP, AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FOREST RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8717
Mailing Address - Country:US
Mailing Address - Phone:802-349-7498
Mailing Address - Fax:802-419-3670
Practice Address - Street 1:229 MAIN ST STE 2D
Practice Address - Street 2:
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491-1004
Practice Address - Country:US
Practice Address - Phone:802-349-7498
Practice Address - Fax:802-419-3670
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0068042163W00000X
VT101.0127675363LA2200X, 363LG0600X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology