Individual
HEATHER HERBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1108
(717) 855-7621
Mailing address
2624 27TH ST SW, ALLENTOWN, PA 18103-7210
(717) 855-7621
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN712920
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP030930
PA
Other
Enumeration date
10/05/2024
Last updated
11/14/2024
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