Provider Demographics
NPI:1184450660
Name:BIESTERFELD, STEVEN ANDREW (BSN, RN)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ANDREW
Last Name:BIESTERFELD
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9414 ROCK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-7216
Mailing Address - Country:US
Mailing Address - Phone:254-644-0589
Mailing Address - Fax:
Practice Address - Street 1:9414 ROCK CREEK RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-7216
Practice Address - Country:US
Practice Address - Phone:254-644-0589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX911173163WC1500X, 163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health