Stephanie Johanna Pierce, RN
Individual provider Active NPI School Registered Nurse · Richburg, NY
NPI 1497027353 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1497027353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 590831 (NY)
- Practice address
- 211 Main St
Richburg, NY 14774 - Phone
- (585) 928-2881
- Fax
- (585) 928-1113
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590831 | NY | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolivar-Richburg Central School District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 590831 | NY | Yes |
Addresses
Primary practice location
211 Main St
Richburg, NY 14774
Mailing address
100 School St
Bolivar, NY 14715-1235
Phone (585) 928-2881
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.