MEDICARE: DR. NANCY CAROL HERRELL M.D.

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	2080N0001X	Neonatal-Perinatal Medicine Physician	23446	WI

General Provider Information

NPI Number	:	1255393443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY CAROL HERRELL M.D.

Provider Business Mailing Address
First Line	:	3070 N 51ST ST
Second Line	:	SUITE 309
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1645
Country	:	US
Telephone Number	:	414-447-7330
Fax Number	:	414-447-1070

Provider Business Practice Location Address
First Line	:	3070 N 51ST ST
Second Line	:	SUITE 309
City	:	MILWAUKEE
State	:	WI
Zip	:	53210-1645
Country	:	US
Telephone Number	:	414-447-7330
Fax Number	:	414-447-1070

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	02/15/2026

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