MEDICARE: MS. TAYLOR RANEE HERRON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		PA

General Provider Information

NPI Number	:	1154289270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAYLOR RANEE HERRON

Provider Business Mailing Address
First Line	:	1000 E MOUNTAIN BLVD
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18711-0001
Country	:	US
Telephone Number	:	570-808-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E MOUNTAIN BLVD
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18711-0001
Country	:	US
Telephone Number	:	570-808-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

Similar Medicare Providers

1871486332 — DR. KYLEE KAPELEWSKI DNP CRNA
Practice Location Address:

1000 E MOUNTAIN BLVD
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-7300
Practice Fax:

1699777235 — ALVIN KUMAR SHARMA MD
Practice Location Address:

1000 E MOUNTAIN BLVD
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-6114
Practice Fax: 570-808-6362

1083684799 — DR. KELLY M BOLESTA PHARM.D.
Practice Location Address:

1000 E MOUNTAIN BLVD # MC34-06
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-7706
Practice Fax: 570-808-6433

1578601332 — AMY L. OPACHKO PA-C
Practice Location Address:

1000 E MOUNTAIN BLVD
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-7762
Practice Fax: 570-808-6128

1154597250 — DR. TANNER ANDREW LONG D.O.
Practice Location Address:

1000 E MOUNTAIN BLVD
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-2340
Practice Fax: 570-808-7904

1275809311 — EMMARY SAMEL BUTLER MD
Practice Location Address:

1000 E MOUNTAIN DR
WILKES BARRE, PA
18711-0001

Practice Phone: 570-808-7916
Practice Fax: 570-808-6006

Directions to “ MS. TAYLOR RANEE HERRON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.