Individual
LAURA MARIE HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 1 SILVERSTEIN, STE 100, PHILADELPHIA, PA 19104-4238
(215) 615-3045
Mailing address
3400 SPRUCE ST, 1 SILVERSTEIN, STE 100, PHILADELPHIA, PA 19104-4238
(215) 615-3045
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP015998
PA
Other
Enumeration date
06/23/2016
Last updated
07/07/2016
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