Individual
KELLIE J PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R27940
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464295
—
ND
05
—
5490260
—
SD
Enumeration date
07/17/2006
Last updated
07/08/2016
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