Individual
OSCAR HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 15TH AVE SE, PUYALLUP, WA 98372-3797
(253) 697-8610
Mailing address
220 15TH AVE SE, PUYALLUP, WA 98372-3797
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60957049
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60957049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141636
—
WA
Enumeration date
07/29/2019
Last updated
11/03/2023
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