Provider Demographics
NPI:1881866457
Name:BIRMIEL, MIRIAM SUE (RN, MSN, CFNP-BC)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:SUE
Last Name:BIRMIEL
Suffix:
Gender:F
Credentials:RN, MSN, CFNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12647 OLIVE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6346
Mailing Address - Country:US
Mailing Address - Phone:800-325-3982
Mailing Address - Fax:
Practice Address - Street 1:500 DULANY ST # 1B85
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5777
Practice Address - Country:US
Practice Address - Phone:571-272-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001046479163W00000X
VA0024046479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse