Provider Demographics
NPI:1467734632
Name:BIERMAN, EDWARD JOSEPH (RN)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:JOSEPH
Last Name:BIERMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5563 VARDON DR
Mailing Address - Street 2:BRISTOL HARBOUR
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-8860
Mailing Address - Country:US
Mailing Address - Phone:585-260-4879
Mailing Address - Fax:
Practice Address - Street 1:5563 VARDON DR
Practice Address - Street 2:BRISTOL HARBOUR
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-8860
Practice Address - Country:US
Practice Address - Phone:585-260-4879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY640331-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse