Provider Demographics
NPI:1558347112
Name:PIERCE, NANCY LEE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11251 NALL AVE.
Mailing Address - Street 2:STE. 100
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211
Mailing Address - Country:US
Mailing Address - Phone:913-327-7505
Mailing Address - Fax:913-327-7054
Practice Address - Street 1:8400 W 110TH ST STE 250
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2461
Practice Address - Country:US
Practice Address - Phone:913-327-7505
Practice Address - Fax:913-327-7054
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45042363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health