Individual
AIMEE MICHELLE BIERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 704-5115
Mailing address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 704-5115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004029
IN
Other
Enumeration date
09/04/2012
Last updated
09/28/2023
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