MEDICARE: KRYSTAL PEIRCE NP

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	363L00000X	Nurse Practitioner	RN2282055	MA
2	163WG0000X	General Practice Registered Nurse	081650-21	NH
3	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN2282055	MA

General Provider Information

NPI Number	:	1992201776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRYSTAL PEIRCE NP

Provider Business Mailing Address
First Line	:	62 BROWN ST
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6778
Country	:	US
Telephone Number	:	978-521-6555
Fax Number	:	978-521-1236

Provider Business Practice Location Address
First Line	:	62 BROWN ST
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01830-6778
Country	:	US
Telephone Number	:	978-521-6555
Fax Number	:	978-521-1236

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

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	03/04/2026

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