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Individual

MRS. ANASTASIA J HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1005 BIG OAK CT, KNIGHTDALE, NC 27545-6565
(919) 266-5669
(919) 488-1717
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
183266
NC
363LF0000X
Family Nurse Practitioner
Primary
183266
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7004597
NC
Enumeration date
10/29/2007
Last updated
10/04/2013
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