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GERTHY C. PIERRE FNP LLC NPI 1821746421


NPI Information

NPI: 1821746421
Provider Name: GERTHY C. PIERRE FNP LLC

Doing Business As: SUNRISE FAMILY PRACTICE WEIGHT LOSS AND PAIN MANAGEMENT

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1706 CLOVERDALE DR
EDWARDSVILLE, IL
ZIP 62025
Phone: (847) 852-0145
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GERTHY C. PIERRE FNP LLC is a mental health (including community mental health center) clinic center in Edwardsville, IL. GERTHY C. PIERRE FNP LLC NPI is 1821746421. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunrise Family Practice Weight Loss And Pain Management.

The provider's business location address is:

1706 CLOVERDALE DR
EDWARDSVILLE, IL
ZIP 62025-500
Phone: (847) 852-0145

The provider's authorized official is Gerthy Cipus Pierre .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (847) 852-0145.

The enumeration date for this NPI number is 3/13/2022 and was last updated on 11/22/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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