Basic Information
| Provider Information | |||||||||
| NPI: | 1407810484 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIERMAN | ||||||||
| FirstName: | VICTORIA | ||||||||
| MiddleName: | HUTCHINS | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 485 DIAMOND CREST CT | ||||||||
| Address2: | |||||||||
| City: | CHRISTIANSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240735887 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5403827567 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2900 LAMB CIRCLE | ||||||||
| Address2: | CARILION NEW RIVER VALLEY ST ALBANS BEHAVIORAL HEALTH, | ||||||||
| City: | CHRISTIANSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240735041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407312000 | ||||||||
| FaxNumber: | 5407317377 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 03/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 00241663000 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 1407810484 | 05 | VA | MEDICAID |