Provider Demographics
NPI:1679058309
Name:PIERRE, HERODIA (ARNP)
Entity type:Individual
Prefix:
First Name:HERODIA
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:HERODIA
Other - Middle Name:PIERRE
Other - Last Name:ORGELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:163 SARATOGA BLVD E
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8293
Mailing Address - Country:US
Mailing Address - Phone:908-416-0714
Mailing Address - Fax:
Practice Address - Street 1:1870 FOREST HILL BLVD STE 209
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6061
Practice Address - Country:US
Practice Address - Phone:908-416-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9495168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily