Doctor Name: | DONNA KAY BIERUT |
NPI Number: | 1073883013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP-BC |
License Number: | NP 21432 |
Business Practice Address: | 1985 First St Ste 205 Livermore, CA - 945504485 |
Business Phone Number: | 9254845483 |
Business Fax Number: | 9254845427 |
Mailing Address: | 1985 First St Ste 205, LIVERMORE |
State: | CA |
Postal Code: | 945504485 |
Phone Number: | 9254845483 |
Fax Number: | 9254845427 |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | NP 21432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |