Individual
MARY A HERRON
Active
Individual
MARY A HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
NN03109700
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NN03109700
NJ
Other
Enumeration date
06/28/2006
Last updated
06/21/2018
Update your record
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