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NPI Code Detail

MEDICARE: PINE MEADOWS WELLNESS LLC

MEDICARE: PINE MEADOWS WELLNESS LLC
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
1363LP2300XPrimary Care Nurse Practitioner
2363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1851239438
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINE MEADOWS WELLNESS LLC
Provider Business Mailing Address
First Line : 15110 HARTWOOD RD SW
Second Line :
City : NEWCOMERSTOWN
State : OH
Zip : 43832-8942
Country : US
Telephone Number : 330-340-0660
Fax Number :
Provider Business Practice Location Address
First Line : 1101 CHESTNUT ST
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-1323
Country : US
Telephone Number : 330-340-0660
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : KERRI PEARCH
Credential : CNP, PMHNP
Telephone Number : 330-340-0660
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “PINE MEADOWS WELLNESS LLC ” Practice Location

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