Provider Demographics
NPI:1255096251
Name:HERREN, KAYLA RENEE (ARNP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:RENEE
Last Name:HERREN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2467 635TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-8618
Mailing Address - Country:US
Mailing Address - Phone:641-680-1225
Mailing Address - Fax:
Practice Address - Street 1:2467 635TH AVE
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-8618
Practice Address - Country:US
Practice Address - Phone:641-680-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG166336363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health