Provider Demographics
NPI:1942405600
Name:PIERCE, DAWN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 ASCOT PKWY
Mailing Address - Street 2:414
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-8331
Mailing Address - Country:US
Mailing Address - Phone:707-731-0665
Mailing Address - Fax:
Practice Address - Street 1:1900 ASCOT PKWY
Practice Address - Street 2:414
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-8331
Practice Address - Country:US
Practice Address - Phone:707-731-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA173521164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse