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NPI Code Detail

MEDICARE: CINDY HER DNP, APRN, PMHNP-BC

MEDICARE: CINDY HER DNP, APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11966MN

General Provider Information

NPI Number : 1316514961
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY HER DNP, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 726 2ND ST NE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55413-1662
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 UNIVERSITY AVE W STE 12
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3952
Country : US
Telephone Number : 612-961-5301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 10/18/2024

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