Provider Demographics
NPI:1265423966
Name:HERMAN, NANCY L (ARNP)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:L
Last Name:HERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1355 37TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-7321
Mailing Address - Country:US
Mailing Address - Phone:772-770-4888
Mailing Address - Fax:772-770-0190
Practice Address - Street 1:1355 37TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7321
Practice Address - Country:US
Practice Address - Phone:772-770-4888
Practice Address - Fax:772-770-0190
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2080932363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE4537XMedicare ID - Type Unspecified
FLP13250Medicare UPIN