Provider Demographics
NPI:1134464563
Name:PIERCE, NAOMI JANE (LPN)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:JANE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SINCERBEAUX RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:NY
Mailing Address - Zip Code:13073-9480
Mailing Address - Country:US
Mailing Address - Phone:607-591-3400
Mailing Address - Fax:
Practice Address - Street 1:131 SINCERBEAUX RD
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:NY
Practice Address - Zip Code:13073-9480
Practice Address - Country:US
Practice Address - Phone:607-591-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10 312272164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse