Sonja Pierce, NP

Individual provider Active NPI Family Nurse Practitioner · Clayton, NY

NPI 1649212481 · NPPES record last updated Feb 28, 2012

Key facts

NPI
1649212481
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
F330724 (NY)
Practice address
909 Strawberry LN
Clayton, NY 13624-1409
Phone
(315) 686-2094
Fax
(315) 686-2821
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F330724NYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F330724 NY Yes

Addresses

Primary practice location

909 Strawberry LN
Clayton, NY 13624-1409

Mailing address

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 686-2094

Other identifiers

IdentifierTypeStateIssuer
00354316MedicaidNY

Other providers in Clayton, NY

All providers in Clayton, NY · Family Nurse Practitioner in New York

Sources for this page

Verify at the official NPI Registry.