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NPI Code Detail

MEDICARE: MS. MARY FRANCES PIERCY CFNP

MEDICARE: MS. MARY FRANCES PIERCY CFNP
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
1363LF0000XFamily Nurse Practitioner209.002075IL

General Provider Information

NPI Number : 1578542270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY FRANCES PIERCY CFNP
Provider Business Mailing Address
First Line : 500 INDIANA AVE
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2169
Country : US
Telephone Number : 928-289-4646
Fax Number :
Provider Business Practice Location Address
First Line : 500 INDIANA AVE
Second Line :
City : WINSLOW
State : AZ
Zip : 86047-2169
Country : US
Telephone Number : 928-289-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 06/05/2011

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