Healthcare Provider Details

I. General information

NPI: 1922919158
Provider Name (Legal Business Name): PIERRELINE THROWER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

IV. Provider business mailing address

4891 FRATTINA ST
AVE MARIA FL
34142-5121
US

V. Phone/Fax

Practice location:
  • Phone: 239-440-8378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11050956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: