Provider Demographics
NPI:1699005918
Name:PEIRCE, SONDRA IRLENE (RN)
Entity Type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:IRLENE
Last Name:PEIRCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813-1146
Mailing Address - Country:US
Mailing Address - Phone:419-544-8979
Mailing Address - Fax:
Practice Address - Street 1:41 CHURCH ST
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:OH
Practice Address - Zip Code:44813-1146
Practice Address - Country:US
Practice Address - Phone:419-544-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 080027163W00000X
OHRN080027163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse