Individual
TONYA RANEE HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Mailing address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017026638
MO
363LF0000X
Family Nurse Practitioner
2017026638
MO
Other
Enumeration date
08/25/2017
Last updated
11/23/2021
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