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NPI Code Detail

MEDICARE: HALEY MARIE GERSTEN

MEDICARE: HALEY MARIE GERSTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAPRN.CNP.0036444OH
2363LG0600XGerontology Nurse PractitionerAPRN.CNP.0036444OH
3363LA2200XAdult Health Nurse PractitionerAPRN.CNP.0036444OH

General Provider Information

NPI Number : 1578312823
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY MARIE GERSTEN
Provider Business Mailing Address
First Line : 22570 LENOX DR
Second Line :
City : FAIRVIEW PARK
State : OH
Zip : 44126-3605
Country : US
Telephone Number : 978-382-0343
Fax Number :
Provider Business Practice Location Address
First Line : 6801 BRECKSVILLE RD STE 10
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-5057
Country : US
Telephone Number : 216-444-4663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2024
Last Update Date : 01/06/2026

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Directions to “ HALEY MARIE GERSTEN ” Practice Location

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