Healthcare Provider Details

I. General information

NPI: 1154175776
Provider Name (Legal Business Name): BARBARA HERRERO HERRERA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34975 N NORTH VALLEY PKWY STE 138
PHOENIX AZ
85086-4030
US

IV. Provider business mailing address

18662 N 72ND DR
GLENDALE AZ
85308-5827
US

V. Phone/Fax

Practice location:
  • Phone: 602-404-0400
  • Fax: 602-404-0403
Mailing address:
  • Phone: 602-616-7519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number251632
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: