Individual
MARY MICHELLE HERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 LAVENDER CT, PASCO, WA 99301-1899
(509) 948-1369
Mailing address
5 LAVENDER CT, PASCO, WA 99301-1899
(509) 948-1369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00120310
WA
163WH0200X
Home Health Registered Nurse
Primary
RN00120310
WA
163WP0200X
Pediatric Registered Nurse
RN00120310
WA
163WS0200X
School Registered Nurse
RN00120310
WA
Other
Enumeration date
06/17/2025
Last updated
03/30/2026
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