Healthcare Provider Details

I. General information

NPI: 1083918585
Provider Name (Legal Business Name): ERICK MICHAEL PIERCE RN, NP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 12/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 LAWRENCE EXPY
SANTA CLARA CA
95051-5173
US

IV. Provider business mailing address

592 OAK ST
MOUNTAIN VIEW CA
94041-1921
US

V. Phone/Fax

Practice location:
  • Phone: 408-851-6012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number18560
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: