Individual
STACIE MARIE HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LAUREL BOULEVARD, POTTSVILLE, PA 17901
(717) 272-6621
Mailing address
428 W SAVORY ST, POTTSVILLE, PA 17901-3954
(570) 628-0761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN577963
PA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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