Provider Demographics
NPI:1093711004
Name:PIERRE, NADIA NODE (MD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:NODE
Last Name:PIERRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9314 FOREST HILL BLVD STE 34
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6577
Mailing Address - Country:US
Mailing Address - Phone:561-791-2888
Mailing Address - Fax:561-491-7447
Practice Address - Street 1:12983 SOUTHERN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9207
Practice Address - Country:US
Practice Address - Phone:561-791-2888
Practice Address - Fax:561-491-7447
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92535207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274191100Medicaid
FL274191100Medicaid