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NPI Code Detail

MEDICARE: MILDRED HERRERA

MEDICARE:   MILDRED  HERRERA
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
1372600000XAdult Companion
23747A0650XAttendant Care Provider
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1528447562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILDRED HERRERA
Provider Business Mailing Address
First Line : 5034 BLUE RUNNER CT
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-3469
Country : US
Telephone Number : 727-565-9906
Fax Number :
Provider Business Practice Location Address
First Line : 5034 BLUE RUNNER CT
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-3469
Country : US
Telephone Number : 727-565-9906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2015
Last Update Date : 05/22/2015

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Directions to “ MILDRED HERRERA ” Practice Location

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