| NPI | 1477534279 | 
|---|---|
| Professional Name | ED PIASECKI | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A100182)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001021075)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: KS 45213)  | |
| Enumeration Date | 2005-11-08 | 
| Last Update Date | 2012-01-30 |