Individual
KATHERINE L PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28280200A
IN
367500000X
Certified Registered Nurse Anesthetist
R 175937-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266431034
MEDICARE PTAN
IN
05
—
300072529
—
IN
05
—
44321800
—
WI
Enumeration date
03/14/2006
Last updated
05/30/2023
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