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Individual

KAREN L. BIERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1605 MARTIN SPRINGS DR, STE 230, ROLLA, MO 65401-2931
(573) 458-6350
(573) 458-6764
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
092664
MO
363LF0000X
Family Nurse Practitioner
Primary
092664
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
092664
LICENSE
MO
05
1497731525
MO
01
431560263
TRICARE
MO
01
P00985954
RR MCR
MO
Enumeration date
12/20/2005
Last updated
01/20/2012
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