Provider Demographics
NPI:1124598073
Name:NURSE THERAPY LLC
Entity Type:Organization
Organization Name:NURSE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN, PMHCNS,BC
Authorized Official - Phone:717-360-1007
Mailing Address - Street 1:900 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17202-9750
Mailing Address - Country:US
Mailing Address - Phone:717-360-1007
Mailing Address - Fax:
Practice Address - Street 1:375 FLORAL AVE STE 108
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3443
Practice Address - Country:US
Practice Address - Phone:717-603-1007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty