Provider Demographics
NPI:1386418101
Name:PIERNAS, ANSONYA RENEE
Entity type:Individual
Prefix:
First Name:ANSONYA
Middle Name:RENEE
Last Name:PIERNAS
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 1:13131 HIGHWAY 603 STE 307
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-8746
Mailing Address - Country:US
Mailing Address - Phone:228-466-4690
Mailing Address - Fax:
Practice Address - Street 1:13131 HIGHWAY 603 STE 307
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-8746
Practice Address - Country:US
Practice Address - Phone:228-466-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator