Individual
MRS. BLAIR RENEE HERRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
524 E MCKINLEY AVE, MISHAWAKA, IN 46545-6285
(574) 256-2556
Mailing address
524 E MCKINLEY AVE, MISHAWAKA, IN 46545-6285
(574) 256-2556
(574) 258-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28166943A
IN
Other
Enumeration date
07/16/2012
Last updated
11/25/2013
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