Provider Demographics
NPI:1790234615
Name:PIERRE, MARIE F (NP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:F
Last Name:PIERRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:STE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-4108
Mailing Address - Country:US
Mailing Address - Phone:610-567-5387
Mailing Address - Fax:610-567-5420
Practice Address - Street 1:119 E LAUREL RD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1324
Practice Address - Country:US
Practice Address - Phone:856-346-3469
Practice Address - Fax:856-346-9456
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00669400207QG0300X
PASP017313363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine