Provider Demographics
NPI:1053487322
Name:PIERCE, ANNE V (RN, NP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:V
Last Name:PIERCE
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 FRANKLIN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-5103
Mailing Address - Country:US
Mailing Address - Phone:510-987-1956
Mailing Address - Fax:510-873-5011
Practice Address - Street 1:1950 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-5103
Practice Address - Country:US
Practice Address - Phone:510-987-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA217527363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP17847Medicare UPIN