Provider Demographics
NPI:1750952818
Name:PIERRE, VIERGELA (CNA)
Entity type:Individual
Prefix:
First Name:VIERGELA
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 HOME AGAIN RD
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6458
Mailing Address - Country:US
Mailing Address - Phone:321-424-4183
Mailing Address - Fax:
Practice Address - Street 1:2313 HOME AGAIN RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-6458
Practice Address - Country:US
Practice Address - Phone:321-424-4183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL341600000X
341600000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance