Provider Demographics
NPI:1588493399
Name:PIERCE, NIANNI JANEL (CERTIFIED PHLEBOTOMI)
Entity type:Individual
Prefix:
First Name:NIANNI
Middle Name:JANEL
Last Name:PIERCE
Suffix:
Gender:F
Credentials:CERTIFIED PHLEBOTOMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 459
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096
Mailing Address - Country:US
Mailing Address - Phone:609-582-0402
Mailing Address - Fax:
Practice Address - Street 1:309 FELLOWSHIP RD
Practice Address - Street 2:STE 200
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054
Practice Address - Country:US
Practice Address - Phone:609-582-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy