Individual ProviderHeather Lynn GerleRegistered NurseNursing Service ProvidersPractice Address4212 North 16th Street, Phoenix, AZ 85016-5319(602) 263-1200(480) 570-3894PECOS EnrollmentBased on the most recent information from CMS, provider Heather Lynn Gerle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1316494917Provider TypeIndividualFull NameGerle, Heather LynnGenderFemaleSole ProprietorNoEnumeration Date9/1/2016Last Updated9/1/2016Contact InformationPractice LocationPractice Address4212 North 16th Street, Phoenix, AZ 85016-5319Phone(602) 263-1200Fax(602) 200-5383Mailing LocationMailing Address31549 N Mesquite Way, San Tan Valley, AZ 85143-7284Phone(480) 570-3894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN156460Arizona