Provider Demographics
NPI:1851357503
Name:HERD, FRANCES B (PNP)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:B
Last Name:HERD
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-1604
Mailing Address - Country:US
Mailing Address - Phone:315-521-0057
Mailing Address - Fax:
Practice Address - Street 1:1 WHITE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-3061
Practice Address - Country:US
Practice Address - Phone:315-230-4074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704378539363LF0000X
IN71012557A363LF0000X
IL209.023953363LF0000X
OH0029700363LF0000X
NYF380527-1363LP0200X
NY332329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP019380527OtherBLUE CHOICE
NYNP0106OtherPREFERRED CARE
NY02565680Medicaid
NY02565680Medicaid