MS. GERRY LOU SERTLE (NPI# 1174780944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780944 |
| Entity Type | Individual |
| Full Name | MS. GERRY LOU SERTLE |
| Credential | APNP |
| Practice Address |
1185 N Elm St Platteville WI 53818-1207 |
| Mailing Address |
1185 North Elm St Platteville WI 53818 |
| Practice Telephone | 6083483656 |
| Practice Fax Number | 6083423025 |
| Mailing Telephone | 6083483656 |
| Mailing Fax Number | 6083423025 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4918-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA NURSING LICENSE | 118963 | 01 |
| WI | STATE LICENSE NO. | 4918-33 | 01 |
| Street Address |
1185 N ELM ST |
| City | PLATTEVILLE |
| State | WI |
| Zip Code | 53818-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790186807 | Valerie Herber | Nurse Practitioner | 1185 N Elm St, Platteville, WI 53818-1207 | 2014-09-08 |
| 1649691262 | Teresa Lin | Social Worker | 1185 N Elm St, Platteville, WI 53818-1207 | 2013-12-27 |
| 1710318829 | Jennifer Miller Kass | Social Worker | 1185 N Elm St, Platteville, WI 53818-1207 | 2013-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278329 | Shannon Millin | Nurse Practitioner | 1400 Eastside Road, Platteville, WI 53818 | 2019-01-08 |
| 1073014387 | Brittany Sarah Hirsch | Physical Therapy Assistant | 1886 W Timber Dr., Platteville, WI 53818 | 2018-02-22 |
| 1912419136 | Fasd Communitties Dba Aloha Community Platteville LLC | Social Worker | 7296 Bunker Ridge Rd, Platteville, WI 53818 | 2017-10-27 |
| 1053836262 | Richard Hodges | Counselor | 6058 S. Chestnut St., Suite 100, Platteville, WI 53818 | 2017-08-08 |
| 1609303031 | Joshua Eastlick | Counselor | 530 S Water St Ste 3, Platteville, WI 53818 | 2017-05-16 |
| 1417213778 | Charles Edward Paynter | Pharmacist | 1425 East Hwy 151, Platteville, WI 53818 | 2012-04-11 |
| 1164682753 | Tammy Lea Obe | Occupational Therapy Assistant | 1300 North Water Street, Platteville, WI 53818 | 2008-06-17 |
| 1629236211 | Angela Marie Meylor Omailia | Occupational Therapy Assistant | 1300 North Water St, Heartland Heath Care, Platteville, WI 53818 | 2008-05-30 |
| 1326214461 | Susan Kay Wallenhorst | Registered Nurse | 1510 Deborah Court, Platteville, WI 53818 | 2008-05-07 |
| 1962538397 | Richard J Neumeister | Dentist | M220 Mcgregor Plaza, Platteville, WI 53818 | 2007-02-27 |
| Find all providers in zip 53818 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942857529 | Amanda Renne | Nurse Practitioner | 1400 Eastside Rd, Platteville, WI 53818-9800 | 2019-08-20 |
| 1598144628 | Elizabeth Heth | Nurse Practitioner | 1240 Big Jack Rd, Platteville, WI 53818-8902 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PLATTEVILLE |
| Zip Code | 53818 |
Please comment or provide details below to improve the information on MS. GERRY LOU SERTLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.