Provider Demographics
NPI:1750728200
Name:HERRERA, RACHAEL MARIE (CNM)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MARIE
Last Name:HERRERA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7092 MAPLE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-1523
Mailing Address - Country:US
Mailing Address - Phone:505-402-3275
Mailing Address - Fax:949-216-6666
Practice Address - Street 1:7092 MAPLE ST APT 1
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-1523
Practice Address - Country:US
Practice Address - Phone:505-402-3275
Practice Address - Fax:949-216-6666
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANMW2049367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife