Individual
RUBY AGENA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6010
(706) 879-4776
(706) 879-4781
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
584777-1
NY
163W00000X
Registered Nurse
RN9334721
FL
363LA2100X
Acute Care Nurse Practitioner
11009073
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
GAA-NP000197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584777-1
—
NY
Enumeration date
06/23/2008
Last updated
08/06/2025
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