Individual
NICOLE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(800) 243-1455
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273521
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83180
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD486435
PA
207RP1001X
Pulmonary Disease Physician
83180
GA
207RP1001X
Pulmonary Disease Physician
Primary
MD486435
PA
Other
Enumeration date
03/24/2015
Last updated
10/08/2024
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