Individual
MISS ALYSSA KATE ELAINE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3044 SCHELE AVE, FORT WAYNE, IN 46803
(260) 267-1821
Mailing address
3044 SCHELE AVE, FORT WAYNE, IN 46803-2775
(260) 267-1821
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HHA1302279
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105549125099
—
IN
Enumeration date
06/20/2013
Last updated
06/20/2013
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