Healthcare Provider Details

I. General information

NPI: 1841597325
Provider Name (Legal Business Name): AIMEE M ST. PIERRE APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2011
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 E ONTARIO ST
CHICAGO IL
60611-4418
US

IV. Provider business mailing address

670 W WAYMAN ST APT 806
CHICAGO IL
60661-1704
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-2172
  • Fax:
Mailing address:
  • Phone: 508-524-9021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209009331
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: