Provider Demographics
NPI:1922373984
Name:PIERCE, WARREN CARROLL (LPN)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:CARROLL
Last Name:PIERCE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 BEVINGTON LN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9335
Mailing Address - Country:US
Mailing Address - Phone:513-867-0761
Mailing Address - Fax:
Practice Address - Street 1:2312 BEVINGTON LN
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-9335
Practice Address - Country:US
Practice Address - Phone:513-867-0761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.145222 M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse