Individual
ROBERTA L HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4017057
KY
363LF0000X
Family Nurse Practitioner
Primary
4173
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4017057
STATE LICENSE
KY
Enumeration date
07/29/2010
Last updated
05/08/2026
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