MEDICARE: SCHRITA PAULETTE HERRIOTT FNP-BC

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	363LF0000X	Family Nurse Practitioner	243166	LA
2	363LF0000X	Family Nurse Practitioner	4045	SC
3	363LF0000X	Family Nurse Practitioner	5003927	NC

General Provider Information

NPI Number	:	1346410016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHRITA PAULETTE HERRIOTT FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 470408
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28247-0408
Country	:	US
Telephone Number	:	704-375-0100
Fax Number	:	704-887-6450

Provider Business Practice Location Address
First Line	:	1061 RED VENTURES DR STE 130
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29707-2516
Country	:	US
Telephone Number	:	704-375-0100
Fax Number	:	704-877-6450

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

Provider Enumeration Date	:	03/09/2008
Last Update Date	:	10/10/2025

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