Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 6358 | NV |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 6358 | NV |
NPI | 1104826767 |
---|---|
Provider Name | Patricia Marie Pierce |
First Address | Las Vegas, NV 89106-4004 |
Second Address | Las Vegas, NV 89106-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 06/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0020-19052 | (05) | NV |
E81416 | (02) |