Provider Demographics
NPI:1467099242
Name:PIER, PAIGE ALLYCIA (RN)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ALLYCIA
Last Name:PIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ALLYCIA
Other - Last Name:HORNBACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6530 STAGECOACH AVE
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-3480
Mailing Address - Country:US
Mailing Address - Phone:720-220-7837
Mailing Address - Fax:
Practice Address - Street 1:424 KIMBARK ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5526
Practice Address - Country:US
Practice Address - Phone:303-427-5302
Practice Address - Fax:303-426-0368
Is Sole Proprietor?:No
Enumeration Date:2019-11-29
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0191304163WA2000X, 163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health