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General NPI Number Information
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NPI Number | 1336914985
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Entity Type | Individual
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Provider Name | CYNDI MARIE GERSTENBERGER APRN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 02/08/2025
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Provider Practice Location Address
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Address Line | 1309 PONDEROSA DR STE 203
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City | SANDPOINT
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State | ID
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Zip | 83864-8278
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Country | US
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Telephone | 208-946-8044
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Fax | 855-610-2310
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Provider Business Mailing Address
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Address Line | PO BOX 618
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City | CLARK FORK
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State | ID
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Zip | 83811-0618
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Country | US
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Telephone | 208-946-8044
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Fax | 855-610-2310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 78103
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License Number State | ID
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