Provider Demographics
NPI:1366632929
Name:LAPIERRE, ERNEST DALE (APRN)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:DALE
Last Name:LAPIERRE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 JERSEY CT UNIT 2B
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8381
Mailing Address - Country:US
Mailing Address - Phone:802-888-9412
Mailing Address - Fax:802-888-9412
Practice Address - Street 1:559 HARREL ST
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8548
Practice Address - Country:US
Practice Address - Phone:802-888-5558
Practice Address - Fax:802-888-5558
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05968000163WP0809X
VT101.0075954163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT701102042Medicaid
S34012Medicare PIN
036998AEMMedicare PIN