Provider Demographics
NPI:1427794312
Name:PIASECKI, ERIC DANIEL (MSN, RN, ACCNS-AG,)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:DANIEL
Last Name:PIASECKI
Suffix:
Gender:M
Credentials:MSN, RN, ACCNS-AG,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 N DUKE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2250
Mailing Address - Country:US
Mailing Address - Phone:484-880-7383
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACNS000351364SC0200X
DELV-0010142364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DELV-0010142OtherDELAWARE STATE CLINICAL NURSE SPECIALIST LICENSE
PACNS000351OtherPA STATE CLINICAL NURSE SPECIALIST LICENSE