Individual
IAN MICHEAL PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
529 PINNACLE DR, PAPILLION, NE 68046-6242
(402) 268-1212
(402) 502-9177
Mailing address
529 PINNACLE DR, PAPILLION, NE 68046-6242
(402) 268-1212
(402) 502-9177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113771
NE
363LF0000X
Family Nurse Practitioner
Primary
113771
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113771
APRN STATE LICENSE
NE
Enumeration date
08/25/2021
Last updated
05/24/2023
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