Provider Demographics
NPI:1295068153
Name:PIRES, JULIANA STIEGELE (PMHNP)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:STIEGELE
Last Name:PIRES
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CHESTNUT DR UNIT M
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5555
Mailing Address - Country:US
Mailing Address - Phone:617-600-4506
Mailing Address - Fax:617-344-3710
Practice Address - Street 1:10 CHESTNUT DR UNIT M
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5555
Practice Address - Country:US
Practice Address - Phone:617-600-4506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2316875163WP0808X
NH079621-21163WP0808X
MARN2316875363LP0808X
NH079621-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty