Individual
MRS. STACY LYNN HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 CENTRAL MAIN ST, PUEBLO, CO 81003-4212
(719) 583-4308
(719) 583-4375
Mailing address
4611 SCARLET SAGE DR, PUEBLO, CO 81001-1019
(719) 566-8075
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
130777
CO
Other
Enumeration date
04/29/2008
Last updated
05/05/2008
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