| Doctor Name: | TERRI D PIERSON |
| NPI Number: | 1104003805 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | NP-09860 |
| Business Practice Address: | 18901 Lake Shore Blvd Euclid, OH - 441191078 |
| Business Phone Number: | 2165319000 |
| Business Fax Number: | |
| Mailing Address: | Po Box 74253, CLEVELAND |
| State: | OH |
| Postal Code: | 441940002 |
| Phone Number: | 4408790081 |
| Fax Number: | 4408790084 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 01/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | NP-09860 |
| 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: | |