Doctor Name: | NANCY JEAN PIERRO |
NPI Number: | 1053374249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R 080995-5 |
Business Practice Address: | 14181 Business Center Dr Nw Elk River, MN - 553304654 |
Business Phone Number: | 7632360500 |
Business Fax Number: | |
Mailing Address: | Po Box 43, Mr 10809 MINNEAPOLIS |
State: | MN |
Postal Code: | 554400043 |
Phone Number: | 6122624813 |
Fax Number: | 6122624194 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | R 080995-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |