Healthcare Provider Details

I. General information

NPI: 1851357503
Provider Name (Legal Business Name): FRANCES B HERD PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WHITE SPRINGS RD
GENEVA NY
14456-3061
US

IV. Provider business mailing address

124 N MAIN ST
GENEVA NY
14456-1604
US

V. Phone/Fax

Practice location:
  • Phone: 315-230-4074
  • Fax:
Mailing address:
  • Phone: 315-521-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704378539
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71012557A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.023953
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0029700
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberF380527-1
License Number StateNY
# 6
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number332329
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: