Pierce, Barbra F

Pierce, Barbra F is an individual health care provider with primary practice located at 201 S Milwaukee Ave , Lake Villa IL 60046-8551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pierce, Barbra F can be contacted via phone (847) 356-9009.

Contact Information

Primary practice address
201 S Milwaukee Ave Lake Villa IL 60046-8551
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019529 Illinois

Profile Details

NPI number 1093479123
LBN Legal business name Pierce, Barbra F
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2021
Last updated Oct 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093479123 NPPES
Illinois MEDICAID 032453

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