Individual
HEATHER MICHELLE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
PO BOX 645315, CINCINNATI, OH 45264-5315
(888) 549-1922
(888) 864-1737
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101035
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407278310
TRICARE NORTH
NC
05
—
1407278310
—
NC
05
—
NAN197
—
SC
01
—
P01291371
RAILROAD MEDICARE
NC
Enumeration date
01/11/2014
Last updated
02/26/2015
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