Provider Demographics
NPI:1437341104
Name:HERD, MONICA RIVERA (RN)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:RIVERA
Last Name:HERD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-7456
Mailing Address - Country:US
Mailing Address - Phone:806-206-1368
Mailing Address - Fax:
Practice Address - Street 1:305 N TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-7456
Practice Address - Country:US
Practice Address - Phone:806-206-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX683902163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health