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NPI Code Detail

MEDICARE: ANNIE HERMAN

MEDICARE: ANNIE HERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social WorkerSW137735PA

General Provider Information

NPI Number : 1235719170
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE HERMAN
Provider Business Mailing Address
First Line : 327 FREMONT ST
Second Line :
City : WEST PITTSTON
State : PA
Zip : 18643-2219
Country : US
Telephone Number : 484-509-1482
Fax Number :
Provider Business Practice Location Address
First Line : 16 LUZERNE AVE
Second Line :
City : WEST PITTSTON
State : PA
Zip : 18643-2817
Country : US
Telephone Number : 570-961-3361
Fax Number : 570-961-3364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 12/12/2022

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Directions to “ ANNIE HERMAN ” Practice Location

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