Healthcare Provider Details

I. General information

NPI: 1457200370
Provider Name (Legal Business Name): NANCY HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 SW 72ND AVE APT 1002
MIAMI FL
33143-7791
US

IV. Provider business mailing address

8215 SW 72ND AVE APT 1002
MIAMI FL
33143-7791
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-4132
  • Fax:
Mailing address:
  • Phone: 786-227-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number3951
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number26540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: