GERTHY CIPUS PIERRE

EDWARDSVILLE, IL
NPI1083126353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  2023125387)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  1014759)
363LF0000X Nurse Practitioner, Family
(Licence: IL  0192721)
363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  377001655)
Enumeration Date2017-10-26
Last Update Date2023-11-22
Business Address
GERTHY CIPUS PIERRE
1706 CLOVERDALE DR
EDWARDSVILLE, IL 62025-5500
Phone number: 618-482-6959
Mailing Address
GERTHY CIPUS PIERRE
200 OCEANGATE STE 100
LONG BEACH, CA 90802-4317
Phone number: 847-852-0145