Individual
MRS. DEIDRA A HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564
(228) 818-0053
(228) 818-0110
Mailing address
4 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564
(228) 818-0053
(228) 818-0110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R783864
MS
Other
Enumeration date
08/17/2006
Last updated
11/15/2010
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