Individual
MARIANNA M HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1032 E SUMNER ST, HARTFORD, WI 53027-1608
(262) 673-2300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175946
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
7973
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071408
—
WI
Enumeration date
05/19/2017
Last updated
09/21/2023
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