Individual
GERTHY CIPUS PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 EAGLE CTR STE 3, O FALLON, IL 62269-1948
(618) 954-7434
(888) 533-1766
Mailing address
1706 CLOVERDALE DR, EDWARDSVILLE, IL 62025-5500
(618) 954-7434
(888) 533-1766
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0192721
IL
363LF0000X
Family Nurse Practitioner
1014759
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2013038384
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023125387
IL
363LP2300X
Primary Care Nurse Practitioner
377001655
IL
Other
Enumeration date
10/26/2017
Last updated
03/02/2026
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