Provider Demographics
NPI:1487482253
Name:PIERCE, COLETTE B
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:B
Last Name:PIERCE
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 1:1058 BERTRAM TER
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7043
Mailing Address - Country:US
Mailing Address - Phone:908-310-1560
Mailing Address - Fax:
Practice Address - Street 1:1058 BERTRAM TER
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7043
Practice Address - Country:US
Practice Address - Phone:908-310-1560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula