Provider Demographics
NPI:1205515939
Name:HERROLD, CIERRA LYNN
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:LYNN
Last Name:HERROLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29565 STATE ROUTE 328
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-8933
Mailing Address - Country:US
Mailing Address - Phone:740-395-1815
Mailing Address - Fax:
Practice Address - Street 1:29565 STATE ROUTE 328
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-8933
Practice Address - Country:US
Practice Address - Phone:740-395-1815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide