Individual
CRISTA S. HEREBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9338
WI
363LN0000X
Neonatal Nurse Practitioner
1007513
TX
Other
Enumeration date
05/14/2018
Last updated
10/10/2023
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