Individual
MRS. CAROL ANNE HERRLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
5253 BUCKS BAR RD, PLACERVILLE, CA 95667-7869
(530) 622-9124
(530) 626-0677
Mailing address
5253 BUCKS BAR RD, PLACERVILLE, CA 95667-7869
(530) 622-9124
(530) 626-0677
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
RN255133 FUNISNP3280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
: ZZZ36132Z
MEDICARE PROVIDER NUMBER: ZZZ36132Z
CA
Enumeration date
04/03/2010
Last updated
04/03/2010
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