Provider Demographics
NPI:1467822270
Name:PIERCE, ANGELA (CRNP-FAMILY)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:CRNP-FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-0904
Mailing Address - Country:US
Mailing Address - Phone:410-224-2222
Mailing Address - Fax:410-224-4926
Practice Address - Street 1:139 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-0904
Practice Address - Country:US
Practice Address - Phone:410-224-2222
Practice Address - Fax:410-224-4926
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR194136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily