Provider Demographics
NPI:1366085870
Name:PIERCE, JOSHUA (APRN-FNP)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:M
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-3542
Mailing Address - Country:US
Mailing Address - Phone:775-220-5810
Mailing Address - Fax:
Practice Address - Street 1:1201 S CARSON ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-5225
Practice Address - Country:US
Practice Address - Phone:775-445-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVF10190465363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner