Individual
KATHRYN M HERRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-009175
IL
363L00000X
Nurse Practitioner
Primary
APRN11012287
FL
Other
Enumeration date
07/09/2012
Last updated
08/04/2025
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