MEDICARE: MELISSA HERRERA DNP, APRN, PMHNP

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
1	390200000X	Student in an Organized Health Care Education/Training Program		IL

General Provider Information

NPI Number	:	1497613673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA HERRERA DNP, APRN, PMHNP

Provider Business Mailing Address
First Line	:	9417 JACKSON AVE
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-1130
Country	:	US
Telephone Number	:	630-461-7021
Fax Number	:

Provider Business Practice Location Address
First Line	:	4580 WEAVER PKWY STE 102
Second Line	:
City	:	WARRENVILLE
State	:	IL
Zip	:	60555-3864
Country	:	US
Telephone Number	:	630-839-9199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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