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General NPI Number Information
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NPI Number | 1902462625
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Entity Type | Individual
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Provider Name | CAILI NICOLE PIERRO DO
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Gender | Female
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5400 S RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89118-1859
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Country | US
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Telephone | 702-853-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 11TH AVE
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City | ALTOONA
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State | PA
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Zip | 16601-3303
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Country | US
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Telephone | 814-201-2684
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21634
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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