Individual
KELLY A PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
8681 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 251-8021
(651) 251-8050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1150535
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
992714000
—
MN
Enumeration date
09/28/2006
Last updated
10/27/2021
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