Provider Demographics
NPI:1811401383
Name:LAPIERRE, GLADYS (PPCNP-BC/PMHNP-BC)
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:
Last Name:LAPIERRE
Suffix:
Gender:
Credentials:PPCNP-BC/PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-9888
Mailing Address - Fax:239-343-4260
Practice Address - Street 1:650 NW 120TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2529
Practice Address - Country:US
Practice Address - Phone:305-688-0811
Practice Address - Fax:305-687-5831
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9427587363LP0808X
FLAPRN9427587363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024293300Medicaid