Healthcare Provider Details
I. General information
NPI: 1992798300
Provider Name (Legal Business Name): CATHERINE R. HERMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/31/2005
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6TH AVENUE AND SPRUCE ST
W. READING PA
19611
US
IV. Provider business mailing address
PO BOX 14623
READING PA
19612-4623
US
V. Phone/Fax
- Phone: 610-988-8269
- Fax: 610-988-4516
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | UP006576Q |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | RN507267L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: