Basic Information
| Provider Information | |||||||||
| NPI: | 1831489350 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FIERRO | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN MSN MPH FNP-C CNS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5850 POLARIS AVE | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891183182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027399957 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5850 POLARIS AVE | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891183182 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027399957 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2011 | ||||||||
| LastUpdateDate: | 05/04/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SC1501X | CNS3527 | CA | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Community Health/Public Health | 363LF0000X | NP21936 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.