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NPI Code Detail

MEDICARE: HEATHER MARIE HERDMAN CNP

MEDICARE: HEATHER MARIE HERDMAN CNP
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
1363LF0000XFamily Nurse Practitioner021793OH

General Provider Information

NPI Number : 1730699422
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MARIE HERDMAN CNP
Provider Business Mailing Address
First Line : 6778 CLEARPORT RD SW
Second Line :
City : LANCASTER
State : OH
Zip : 43130-7807
Country : US
Telephone Number : 740-503-9346
Fax Number :
Provider Business Practice Location Address
First Line : 111 S MEMORIAL DR
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4361
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 09/10/2025

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Directions to “ HEATHER MARIE HERDMAN CNP” Practice Location

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