MEDICARE: TRACEY DANIELLE HERRERA 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95037218	CA

General Provider Information

NPI Number	:	1588520647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY DANIELLE HERRERA PMHNP

Provider Business Mailing Address
First Line	:	213 N GLENDALE AVE # 1116
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 N GLENDALE AVE # 1116
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4455
Country	:	US
Telephone Number	:	323-332-7643
Fax Number	:

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

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

Similar Medicare Providers

1104343128 — VERONICA TOGUAL LCSW
Practice Location Address:

213 N GLENDALE AVE
GLENDALE, CA
91206-4455

Practice Phone: 999-999-9999
Practice Fax:

1285219055 — PAULINA SAMSON
Practice Location Address:

213 N GLENDALE AVE # 1154
GLENDALE, CA
91206-4455

Practice Phone: 747-316-1603
Practice Fax:

1114063138 — MRS. BRANDIE P. LIEBLONG PT
Practice Location Address:

806 GLENDALE ST
JONESBORO, AR
72401-4455

Practice Phone: 870-933-9528
Practice Fax: 870-933-9778

1629114756 — MRS. ANGELA DALE VAUGHN MS, RD, LD
Practice Location Address:

806 GLENDALE ST
JONESBORO, AR
72401-4455

Practice Phone: 870-933-9528
Practice Fax: 870-933-9778

1730225566 — MRS. HEATHER WILSON RUFF MCD, CCC-SLP
Practice Location Address:

806 GLENDALE ST
JONESBORO, AR
72401-4455

Practice Phone: 870-933-9528
Practice Fax:

1265579080 — CASANDRA Q PATTERSON MRC ED.S LPC RPT NCC
Practice Location Address:

806 GLENDALE ST
JONESBORO, AR
72401-4455

Practice Phone: 870-933-9528
Practice Fax: 870-933-9778

Directions to “ TRACEY DANIELLE HERRERA PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.