Provider Demographics
NPI:1972653517
Name:BIERMAN, ROSANN MARIE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:ROSANN
Middle Name:MARIE
Last Name:BIERMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20452
Mailing Address - Street 2:YPS-CREDENTIALING
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0452
Mailing Address - Country:US
Mailing Address - Phone:614-442-2406
Mailing Address - Fax:614-442-2410
Practice Address - Street 1:3610 24TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2014
Practice Address - Country:US
Practice Address - Phone:806-793-3141
Practice Address - Fax:806-795-9179
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX536309367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX307253001Medicaid
TX8320UDOtherBCBS TX
TXP01077187OtherRR MEDICARE
TX1972653517OtherFIRST CARE HEALTH PLAN
TXTXB159303Medicare PIN
TX8320UDOtherBCBS TX