Individual
CAROL M HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
975 CRESCENT DR, GERING, NE 69341-1712
(308) 632-2540
(308) 633-2650
Mailing address
3350 10TH ST, GERING, NE 69341-1724
(308) 632-2540
(308) 633-2650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
581
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581
STATE LICENSE
NE
Enumeration date
08/01/2006
Last updated
09/17/2012
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