Individual
CARRIE L HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-8502
Mailing address
5 FIVE GAITS FARM, WEST SIMSBURY, CT 06092-2127
(860) 651-1978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
03/05/2012
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