Provider Demographics
NPI:1740773449
Name:PIERCE, ELIZABETH MARIE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 S BANNING ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-8676
Mailing Address - Country:US
Mailing Address - Phone:480-227-6676
Mailing Address - Fax:480-808-4951
Practice Address - Street 1:1333 S BANNING ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-8676
Practice Address - Country:US
Practice Address - Phone:480-227-6676
Practice Address - Fax:480-808-4951
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP11352363LF0000X
AZAP11352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily