Doctor Name: | MRS. LINDA RAE PIERCE |
NPI Number: | 1255329850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.N.P. |
License Number: | AP1819 |
Business Practice Address: | 7383 N Litchfield Rd Luke Afb, AZ - 853091500 |
Business Phone Number: | 6238564003 |
Business Fax Number: | |
Mailing Address: | 18764 N Cactus Flower Way, SURPRISE |
State: | AZ |
Postal Code: | 853876403 |
Phone Number: | 6232669525 |
Fax Number: | 6232669525 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | AP1819 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |