Individual
STEPHANIE M HERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-4000
(859) 301-4001
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-4000
(859) 301-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012254
KY
363LA2200X
Adult Health Nurse Practitioner
09768-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201267790
—
IN
05
—
3022991
—
OH
Enumeration date
01/19/2009
Last updated
10/01/2020
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