Individual
KATIERAE E HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
2014 S 6TH ST, BRAINERD, MN 56401-4529
(218) 829-7812
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2457406
MN
363LF0000X
Family Nurse Practitioner
Primary
8552
MN
Other
Enumeration date
09/14/2021
Last updated
12/01/2021
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