Doctor Name: | ANNE PIERCE |
NPI Number: | 1366430621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CNP |
License Number: | R63909-9 |
Business Practice Address: | 5520 Ridgewood Cv Minnetrista, MN - 553648239 |
Business Phone Number: | 6128655262 |
Business Fax Number: | 9524723837 |
Mailing Address: | 12135 24th Ave N, PLYMOUTH |
State: | MN |
Postal Code: | 554414123 |
Phone Number: | 7635594437 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R63909-9 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |