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Individual

MS. ALIDA SUZANNE HERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
44 BONNIE LN, SYLVA, NC 28779-8511
(828) 631-3973
Mailing address
PO BOX 2187, SYLVA, NC 28779-2187
(828) 631-3973
(828) 631-9280

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201500
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201500
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201500
MEDICAL LICENSE
NC
05
6113070
NC
Enumeration date
11/10/2006
Last updated
10/01/2019
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