Provider Demographics
NPI:1356836563
Name:HERBERT, CLAIRE OLIVIA (APRN-CNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:OLIVIA
Last Name:HERBERT
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 S 3RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5194
Mailing Address - Country:US
Mailing Address - Phone:614-484-7077
Mailing Address - Fax:949-695-3931
Practice Address - Street 1:175 S 3RD ST STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5194
Practice Address - Country:US
Practice Address - Phone:614-484-7077
Practice Address - Fax:949-695-3931
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027319363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty