Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01070323A | IN |
N | 207VE0102X | Reproductive Endocrinologist | 01070323A | IN |
N | 207VE0102X | Reproductive Endocrinologist | 49357 | KY |
NPI | 1063654010 |
---|---|
Provider Name | Rebecca Caroline Pierson |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Indianapolis, IN 46202-5149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2009 |
Last Update Date | 11/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201106630 | (05) | IN |
7100419570 | (05) | KY |