Healthcare Provider Details

I. General information

NPI: 1134934326
Provider Name (Legal Business Name): MARIE MARTHE PIERRE FNP, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 WILLOW STREET
SALISBURY MD
21801
US

IV. Provider business mailing address

10842 BLUE PALM ST
PLANTATION FL
33324-8238
US

V. Phone/Fax

Practice location:
  • Phone: 410-845-3148
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11037669
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11037669
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC007546
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: