Healthcare Provider Details

I. General information

NPI: 1316469448
Provider Name (Legal Business Name): ARIEL JESSE HERRON CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARIEL HERRON CNM

II. Dates (important events)

Enumeration Date: 07/11/2017
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 MERIDEN WATERBURY TPKE. SUITE 7
PLANTSVILLE CT
06479
US

IV. Provider business mailing address

108 DAYTON DR
SOUTHINGTON CT
06489-2261
US

V. Phone/Fax

Practice location:
  • Phone: 860-384-7405
  • Fax: 860-348-3144
Mailing address:
  • Phone: 860-302-0967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number000420
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: