Doctor Name: | MR. DONALD LEE PIERCE |
NPI Number: | 1013912294 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 638 |
Business Practice Address: | 1812 N Pearl Ln Prescott, AZ - 863017931 |
Business Phone Number: | 6025260628 |
Business Fax Number: | |
Mailing Address: | 1812 N Pearl Ln, PRESCOTT |
State: | AZ |
Postal Code: | 863017931 |
Phone Number: | 6025260628 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2005 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |