# TERRY T HERRICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780649962
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3000979 | KY | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 03/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000350671 | ANTHEM - DMA | KY |
| 01 | — | 000052154A | HUMANA - CMA | KY |
| 01 | — | 009116 | SIHO - CMA | KY |
| 01 | — | 1130950 | PASSPORT - CMA | KY |
| 01 | — | 1192436 | CHA - CMA | KY |
| 01 | — | 2437655000 | PASSPORT ADVANTAGE - NMA | KY |
| 05 | — | 78001435 | — | KY |