MEDICARE: MRS. YVERLINE PIERRE-LOUIS RN

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
1	163WM0705X	Medical-Surgical Registered Nurse	570171	NY

General Provider Information

NPI Number	:	1205501400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YVERLINE PIERRE-LOUIS RN

Provider Business Mailing Address
First Line	:	12 KNAPP ST
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06854-4234
Country	:	US
Telephone Number	:	203-515-7361
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 W POST RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10606-2914
Country	:	US
Telephone Number	:	914-686-8880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	08/11/2021

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