| Organization Name: | NURSE PRACTITIONER ALLIANCE LLC |
| NPI Number: | 1063704203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA FAY PIERCE (CFO) |
| Mailing Address: | 7326 State Route 19 Unit 5416 Mount Gilead |
| State: | OH US |
| Postal Code: | 433389354 |
| Phone Number: | 4195289333 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2011 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 11665 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |