LISA M PIERCE CPNP-AC
NPI 1073842878
Nurse Practitioner - Pediatrics, Critical Care in Peoria, IL
Active since December 08, 2009
About Lisa M Pierce Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA M PIERCE CPNP-AC (NPI 1073842878) is an individual pediatrics, critical care provider in Peoria, Illinois, licensed in Illinois (209.007927) and active in the NPI registry since December 2009.
NPPES Registry Identity
NPI1073842878
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameLISA M PIERCECredential: CPNP-AC
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address112 N 6th StDunlap, IL 61525-8004 · (309) 243-2202
Phone(309) 655-2600
Sole ProprietorNo
Enumeration DateDecember 8, 2009
✔ NPI 1073842878 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in IL · 209.007927
530 NE GLEN OAK AVE, Peoria, IL 61637
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
PEORIA, IL 61637
Pediatrics (Pediatric Critical Care Medicine)
530 NE GLEN OAK AVE
PEORIA, IL 61637
PEORIA, IL 61637
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073842878, enumerated as an "individual" on December 08, 2009.
The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 655-2600.
Nurse Practitioner with taxonomy code 363LP0222X and a focus in Pediatrics, Critical Care.
