Individual
AMY MELINDA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6420 DUTCHMANS PKWY, SUITE 200, LOUISVILLE, KY 40205-3372
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007041
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000734239
ANTHEM - NCVA
KY
01
—
128696
SIHO - NCVA
KY
01
—
50034896
PASSPORT - NCVA
KY
05
—
7100179670
—
KY
Enumeration date
09/08/2011
Last updated
09/12/2016
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