Individual
MRS. JAN S PIERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC
Contact information
Practice address
423 COLE SHOPPING CTR, CHEYENNE, WY 82001-5370
(307) 432-9601
(307) 432-0411
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
927
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0640004432
RR MEDICARE
WY
01
—
308149
BLUE CROSS BLUE SHIELD
WY
Enumeration date
04/27/2006
Last updated
07/08/2007
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