Healthcare Provider Details

I. General information

NPI: 1205758315
Provider Name (Legal Business Name): CATHERINE HERBST LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 TIMBER VIEW DR
HARPERS FERRY WV
25425-5685
US

IV. Provider business mailing address

67 TIMBER VIEW DR
HARPERS FERRY WV
25425-5685
US

V. Phone/Fax

Practice location:
  • Phone: 681-313-4759
  • Fax: 844-800-3954
Mailing address:
  • Phone: 681-313-4759
  • Fax: 844-800-3954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number42004
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: