Individual
LISA L PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(860) 696-5159
(860) 696-5140
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-015864
IL
363LF0000X
Family Nurse Practitioner
Primary
9646
CT
Other
Enumeration date
10/12/2011
Last updated
07/29/2021
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