Individual
ANDREA J HERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(505) 980-9774
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05843
NC
Other
Enumeration date
10/02/2015
Last updated
06/13/2021
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