MEDICARE: PATRICK HUNTER PIERCE CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	211325	LA
2	367500000X	Certified Registered Nurse Anesthetist	211325	LA

General Provider Information

NPI Number	:	1184452393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK HUNTER PIERCE CRNA

Provider Business Mailing Address
First Line	:	8361 STILL MEADOW DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-9752
Country	:	US
Telephone Number	:	318-230-2597
Fax Number	:

Provider Business Practice Location Address
First Line	:	8361 STILL MEADOW DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71129-9752
Country	:	US
Telephone Number	:	318-230-2597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	01/12/2026

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