Provider Demographics
NPI:1083784995
Name:PIERRE, MIREILLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MIREILLE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 UNIONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2201
Mailing Address - Country:US
Mailing Address - Phone:347-581-9015
Mailing Address - Fax:516-280-9085
Practice Address - Street 1:494 UNIONDALE AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2201
Practice Address - Country:US
Practice Address - Phone:347-581-9015
Practice Address - Fax:516-280-9085
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA579389163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse