Healthcare Provider Details

I. General information

NPI: 1851099550
Provider Name (Legal Business Name): SHEILA PIERRE-LOUIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W 7TH ST
FREDERICK MD
21701-4586
US

IV. Provider business mailing address

501 W 7TH ST
FREDERICK MD
21701-4586
US

V. Phone/Fax

Practice location:
  • Phone: 240-815-8715
  • Fax: 240-566-7754
Mailing address:
  • Phone: 240-815-8715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR217219
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR217219
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: