Individual
MICHELE C PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
60 WESTWOOD AVE STE 314, WATERBURY, CT 06708-2460
(203) 574-3007
(203) 573-1739
Mailing address
17 CORAM RD UNIT 2A, SHELTON, CT 06484-4074
(203) 213-1881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2326
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255668968
ANTHEM
CT
Enumeration date
11/17/2009
Last updated
10/28/2021
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