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NPI Code Detail

MEDICARE: MARY ELIZABETH HERRINGTON

MEDICARE:   MARY ELIZABETH HERRINGTON
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
1174N00000XLactation Consultant (Non-RN)L-17248VA
2163W00000XRegistered Nurse660740TX

General Provider Information

NPI Number : 1992395933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH HERRINGTON
Provider Business Mailing Address
First Line : 3698 PINEY POINT RD
Second Line :
City : CONROE
State : TX
Zip : 77301-5808
Country : US
Telephone Number : 936-718-8216
Fax Number :
Provider Business Practice Location Address
First Line : 2510 S LOOP 336 W STE 215H
Second Line :
City : CONROE
State : TX
Zip : 77304-3737
Country : US
Telephone Number : 281-305-0411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2021
Last Update Date : 02/01/2023

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Directions to “ MARY ELIZABETH HERRINGTON ” Practice Location

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