Provider Demographics
NPI:1295892933
Name:HERMAN, HEATHER M (NP)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:HERMAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:244 BEAVER CREEK ESTATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28694-9383
Mailing Address - Country:US
Mailing Address - Phone:336-290-1396
Mailing Address - Fax:877-349-8775
Practice Address - Street 1:17 EAST BUCK MOUNTAIN RD
Practice Address - Street 2:UNIT A
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-2869
Practice Address - Country:US
Practice Address - Phone:336-290-1396
Practice Address - Fax:877-349-8775
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2022-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0050-02521207Q00000X
NC5002521363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine