Individual
MRS. ANDREA NITA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.P.N.P
Contact information
Practice address
1230 MARSH ST, SAN LUIS OBISPO, CA 93401-3326
(805) 543-6988
(805) 543-6692
Mailing address
1230 MARSH ST, SAN LUIS OBISPO, CA 93401-3326
(805) 543-6988
(805) 543-6692
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L190788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME 02129F
—
CA
05
—
NP0028100
—
CA
Enumeration date
12/05/2006
Last updated
07/09/2007
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