Provider Demographics
NPI:1750686630
Name:GERIATRIC HEALTH EXCELLENCE LLC
Entity Type:Organization
Organization Name:GERIATRIC HEALTH EXCELLENCE LLC
Other - Org Name:DONNA PIERCE NP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NP / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:216-881-5055
Mailing Address - Street 1:PO BOX 77043
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-7043
Mailing Address - Country:US
Mailing Address - Phone:216-472-2730
Mailing Address - Fax:216-472-2740
Practice Address - Street 1:11201 SHAKER BLVD
Practice Address - Street 2:SUITE 328
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-3869
Practice Address - Country:US
Practice Address - Phone:216-881-5055
Practice Address - Fax:216-881-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA11665-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty