Laurie Herndon in Worcester - Nurse Practitioner

Laurie Herndon - NPI 1225002512

Laurie Herndon is a Nurse Practitioner in Worcester, Massachusetts. Laurie Herndon practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Laurie Herndon is 1225002512. The last update date is 2007-07-08.

Laurie Herndon's current location address is 630 Plantation St, Worcester, Massachusetts. You can contact this provider via phone number 5085952000 and fax number 5088537149. The mailing address for Laurie Herndon is 630 Plantation St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie Herndon
Address 630 Plantation St, Worcester, Massachusetts
Phone Number 5085952000
Fax Number 5088537149
Sole Proprietor X
Credentials GNP

NPI Number Detail

NPI Number 1225002512
Provider Enumeration Date 2006-02-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 630 Plantation St
City Worcester
State Massachusetts (MA)
Post Code 1605
Phone Number 5085952000
Fax Number 5088537149

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 187387
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
700711 MA --
42472266008 TRICARE CHAMPUS
NP0660 BLUE SHIELD INDEMNITY
4247226 ONE HEALTH PLAN
NP0660 BLUE SHIELD HMO BLUE
700711 WELFARE
57676 FALLON COMMUNITY HEALTH P
NP0660 BLUE CARE ELECT
NP0660 MEDICARE B
8300302 EVERCARE

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FAQs about Laurie Herndon

What is the unique 10-digit identifier code assigned to Laurie Herndon by the Centers for Medicare & Medicaid Services?

The Laurie Herndon has been issued the NPI (National Provider Identifier) 1225002512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Laurie Herndon?

The Laurie Herndon is situated at 630 Plantation St, in the city of Worcester, state of MA, with the zip code 1605.

What is Laurie Herndon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laurie Herndon is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.

When did Laurie Herndon receive its 1225002512 assignment?

The Laurie Herndon was assigned its 1225002512 on 2006-02-14, which is the date when this unique identifier was issued to the organization.

When was the information regarding Laurie Herndon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Laurie Herndon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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