Provider Demographics
NPI:1194551903
Name:PIERS, ANGELENA VANESSA
Entity type:Individual
Prefix:
First Name:ANGELENA
Middle Name:VANESSA
Last Name:PIERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-5346
Mailing Address - Country:US
Mailing Address - Phone:774-534-0222
Mailing Address - Fax:
Practice Address - Street 1:295 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:RAYNHAM
Practice Address - State:MA
Practice Address - Zip Code:02767-5346
Practice Address - Country:US
Practice Address - Phone:774-534-0222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program