Individual
DIANE M HERRON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BS MS BSN MSN CNP
Contact information
Practice address
25200 CENTER RIDGE ROAD, SUITE 1100, WESTLAKE, OH 44145
(440) 333-3332
(440) 331-3894
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5021
(440) 895-5050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP05806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356906
ANTHEM
—
01
—
0113106
UNITED HEALTHCARE
—
01
—
0653707
AETNA
—
05
—
2431336
—
OH
01
—
341783789116
CARESOURCE
—
01
—
A72356
SUMMACARE APEX
—
Enumeration date
03/07/2006
Last updated
07/08/2007
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