Provider Demographics
NPI:1942655428
Name:PIER MEDICAL, INC.
Entity Type:Organization
Organization Name:PIER MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKEEFF
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:401-782-9953
Mailing Address - Street 1:5 CASWELL ST
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3326
Mailing Address - Country:US
Mailing Address - Phone:401-782-9953
Mailing Address - Fax:
Practice Address - Street 1:55 CHERRY LN
Practice Address - Street 2:SUITE1B
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3617
Practice Address - Country:US
Practice Address - Phone:401-782-9953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-03
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN00615363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIU100327058Medicare PIN