Individual
TERESA J HERGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 MAIN ST, WINDSOR, CO 80550-5989
(970) 686-5646
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
65204
CO
Other
Enumeration date
01/23/2007
Last updated
11/23/2009
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