Provider Demographics
NPI:1154347243
Name:MONTERROSA PIERCECCHI, ANNETTE E (MD)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:E
Last Name:MONTERROSA PIERCECCHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:E
Other - Last Name:MONTERROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10043 N ALDER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-8592
Mailing Address - Country:US
Mailing Address - Phone:520-270-8639
Mailing Address - Fax:
Practice Address - Street 1:2121 N CRAYCROFT RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2834
Practice Address - Country:US
Practice Address - Phone:520-731-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32153207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ197971Medicare PIN
AZZ102460Medicare PIN