Provider Demographics
NPI:1124373576
Name:HERLIHY, DARRAGH ANN (NP)
Entity Type:Individual
Prefix:
First Name:DARRAGH
Middle Name:ANN
Last Name:HERLIHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-1289
Mailing Address - Country:US
Mailing Address - Phone:813-844-7473
Mailing Address - Fax:
Practice Address - Street 1:5 TAMPA GENERAL CIR STE 410
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3578
Practice Address - Country:US
Practice Address - Phone:813-844-7473
Practice Address - Fax:813-844-1966
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306094363L00000X
FLAPRN11026884363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner