Individual
HEATHER E HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP- AC
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2965
Mailing address
315 N SAN SABA, SAN ANTONIO, TX 78207-3154
(210) 704-3049
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
702709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218308901
—
TX
01
—
218308902
CSHCN
TX
Enumeration date
11/01/2010
Last updated
02/24/2015
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