Provider Demographics
NPI:1598956393
Name:PIERRE, ALICE (NP)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 W. WALNUT LANE SUITE 120
Mailing Address - Street 2:SUITE 120
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038
Mailing Address - Country:US
Mailing Address - Phone:877-329-8081
Mailing Address - Fax:
Practice Address - Street 1:1825 W WALNUT HL LN
Practice Address - Street 2:SUITE 120
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3218
Practice Address - Country:US
Practice Address - Phone:877-329-8081
Practice Address - Fax:512-727-0544
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX625082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily