Individual
ERICA HERDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 JUMPERS HOLE RD, SEVERNA PARK, MD 21146-2654
(301) 788-8506
Mailing address
560 JUMPERS HOLE RD, SEVERNA PARK, MD 21146-2654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R222626
MD
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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