Healthcare Provider Details

I. General information

NPI: 1518199025
Provider Name (Legal Business Name): KATHRYN DANA HERRINGA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2009
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 E WASHINGTON AVE
MADISON WI
53704-5002
US

IV. Provider business mailing address

2705 E WASHINGTON AVE
MADISON WI
53704-5002
US

V. Phone/Fax

Practice location:
  • Phone: 608-266-4821
  • Fax:
Mailing address:
  • Phone: 608-630-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP009482
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2136-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: