Provider Demographics
NPI:1922523182
Name:HERRERA, KARLA MARIA (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:MARIA
Last Name:HERRERA
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 VALENCIA ST STE 701
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4421
Mailing Address - Country:US
Mailing Address - Phone:415-641-6696
Mailing Address - Fax:
Practice Address - Street 1:1580 VALENCIA ST STE 701
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4421
Practice Address - Country:US
Practice Address - Phone:415-641-6696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005457363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics