Individual
MRS. ALEXIS STAR HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
20 YORK STREET, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-4748
(203) 688-4740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9426768
FL
363L00000X
Nurse Practitioner
8767
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
8767
CT
Other
Enumeration date
09/24/2018
Last updated
09/09/2025
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