Individual
ELIZABETH A PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 391-5272
(616) 391-9010
Mailing address
100 MICHIGAN ST NE, MC 109 ATTN JULIE L, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704231988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI #
MI
05
—
2732128
—
MI
01
—
381360529
TAX ID
MI
01
—
5008706230
BCBSM
MI
Enumeration date
05/27/2006
Last updated
01/27/2025
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