Provider Demographics
NPI:1255670915
Name:HERRINGSHAW, ERIN LOUISE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LOUISE
Last Name:HERRINGSHAW
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 S 270TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-7139
Mailing Address - Country:US
Mailing Address - Phone:253-945-4000
Mailing Address - Fax:
Practice Address - Street 1:4014 S 270TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-7139
Practice Address - Country:US
Practice Address - Phone:253-945-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00042732164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse