Organization
NURSE PRACTITIONER ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA FAY PIERCE NP (CFO)
(419) 528-9333
Entity
Organization
Contact information
Practice address
7326 STATE ROUTE 19, UNIT 5416, MOUNT GILEAD, OH 43338-9354
(419) 528-9333
Mailing address
7326 STATE ROUTE 19 UNIT 5416, MOUNT GILEAD, OH 43338-9349
(419) 528-9333
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9395201
MEDICARE PTAN
OH
Enumeration date
05/05/2011
Last updated
05/02/2012
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