Individual
ALYSSA C HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 FARRINGTON CORNER RD, HOPKINTON, NH 03229-2020
(603) 228-7575
(603) 228-7585
Mailing address
19 FARRINGTON CORNER RD, HOPKINTON, NH 03229-2020
(603) 228-7575
(603) 228-7585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05126
NC
363A00000X
Physician Assistant
Primary
0860
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103674
—
OH
05
—
1558648949
—
NC
Enumeration date
11/14/2011
Last updated
11/28/2017
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