Provider Demographics
NPI:1427278308
Name:PIERONI, CATHERINE KRSEK (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:KRSEK
Last Name:PIERONI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9189 VIGO ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8537
Mailing Address - Country:US
Mailing Address - Phone:219-947-1007
Mailing Address - Fax:219-769-6768
Practice Address - Street 1:9247 BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-7018
Practice Address - Country:US
Practice Address - Phone:219-769-6970
Practice Address - Fax:219-769-6768
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001516A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily