Individual
HEATHER HERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 E BASELINE RD, EVANSVILLE, IN 47725-9340
(812) 867-7256
Mailing address
811 E BASELINE RD, EVANSVILLE, IN 47725-9340
(812) 867-7256
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27054295A
IN
164W00000X
Licensed Practical Nurse
27054295C
IN
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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