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Individual

MARY REBECCA HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
(877) 564-3627
Mailing address
96947 BLACKROCK RD, YULEE, FL 32097-6361
(904) 556-5233

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9277340
FL
367A00000X
Advanced Practice Midwife
ARNP9277340
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L1330
MEDICARE
FL
01
YOMP9
BCBS
FL
Enumeration date
02/11/2014
Last updated
11/06/2020
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