Healthcare Provider Details

I. General information

NPI: 1972749828
Provider Name (Legal Business Name): JULIE ANN PIERCE II
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2008
Last Update Date: 12/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 YAUCK RD
SAGINAW MI
48601-6954
US

IV. Provider business mailing address

3121 YAUCK RD
SAGINAW MI
48601-6954
US

V. Phone/Fax

Practice location:
  • Phone: 989-332-1371
  • Fax:
Mailing address:
  • Phone: 989-332-1371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number230010154690904
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: