Individual
KERRILENE JOY HERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 163 BLDGKA-2010, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
HWY 160 M.P. 394.3, KAYENTA, AZ 86033-1186
(928) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-202238
AZ
Other
Enumeration date
12/05/2014
Last updated
09/20/2019
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