Individual
MS. DIANA LYNN HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2016 VADALABENE DR, MARYVILLE, IL 62062-6901
(618) 288-2970
(618) 288-3572
Mailing address
220 E US HIGHWAY 40, TROY, IL 62294-2201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.006734
IL
367A00000X
Advanced Practice Midwife
209.006734041.253728
IL
Other
Enumeration date
09/08/2008
Last updated
08/10/2016
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