Individual
MRS. SHANDELL LEE HERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(262) 325-9309
Mailing address
500 MARY KNOLL LN, WATERTOWN, WI 53098-1219
(262) 325-9309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
246761-30
WI
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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