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Individual

MS. BARBRA F PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
201 S MILWAUKEE AVE, LAKE VILLA, IL 60046-8551
(847) 356-9009
Mailing address
32918 N BATTERSHALL RD, GRAYSLAKE, IL 60030-2005
(847) 293-1924

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209019529
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032453
IL
Enumeration date
10/25/2021
Last updated
10/25/2021
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