Healthcare Provider Details

I. General information

NPI: 1023668498
Provider Name (Legal Business Name): ZENA E HERMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 ADDISON ST
BERKELEY CA
94710
US

IV. Provider business mailing address

1914 VIRGINIA ST
BERKELEY CA
94709-2136
US

V. Phone/Fax

Practice location:
  • Phone: 510-981-4100
  • Fax:
Mailing address:
  • Phone: 510-575-8877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95012611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: