Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariah Gloria Teriet

Individual provider Nurse Practitioner · NPI 1275267262

Mariah Gloria Teriet is a Nurse Practitioner in Marion, Illinois. Qualified in 2021, 5 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

2808 E Outer Dr
Marion, IL 62959-5207
Phone: (618) 993-3817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 901 S Commercial St, Harrisburg, IL 62946-2640 — (618) 993-3817

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209025444 (IL)

Record details

NPI number1275267262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marion